Maynard, Lisa G.

Maynard, Lisa G. is an sole proprietor health care provider with primary practice located at 376 W Main St , Covington VA 24426-1517. She recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as her primary health care specialty. Maynard, Lisa G. can be contacted via phone (540) 962-4433.

Contact Information

Primary practice address
376 W Main St Covington VA 24426-1517
Fax: (540) 962-4434
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0206009194 Virginia

Profile Details

NPI number 1790950251
LBN Legal business name Maynard, Lisa G.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Jun 28th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790950251 NPPES
Virginia MEDICAID 009106049

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