Mcilvenna, Lisa Marie

Mcilvenna, Lisa Marie is an sole proprietor health care provider with primary practice located at 315 W Larkin St , Midland MI 48640. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mcilvenna, Lisa Marie can be contacted via phone (989) 835-7511.

Contact Information

Primary practice address
315 W Larkin St Midland MI 48640
Phone: (989) 835-7511
Fax: (898) 357-5112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010105 Michigan

Profile Details

NPI number 1043412240
LBN Legal business name Mcilvenna, Lisa Marie
Credentials DMIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jan 18th, 2021 - about 4 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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