Mendell, Lisa
Mendell, Lisa is an individual health care provider with primary practice located at 1130 Collins Rd , Jefferson WI 53549-2939. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mendell, Lisa can be contacted via phone (920) 674-6077.Contact Information
Primary practice address
1130 Collins Rd
Jefferson WI 53549-2939
Phone: (920) 674-6077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1506-26 | Wisconsin |
Profile Details
| NPI number | 1396858445 |
|---|---|
| LBN Legal business name | Mendell, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396858445 | NPPES |
| Wisconsin | MEDICAID | 40672200 |
Popular Providers
-
Mechler-Clinkenbeard, Pamela A
6566 Glenway Ave , Cincinnati OH 45211-4410 -
Sykes, Miles
3570 College St Suite 150, Beaumont TX 77701-4683 -
Hogan, Michelle
1130 Collins Rd , Jefferson WI 53549-2939 -
Sheppard, Ron
2817 W Andrew Johnson Hwy , Morristown TN 37814-3216 -
Godfrey, Laura J
575 N Sioux Point Rd , Dakota Dunes SD 57049-5312 -
Thomas, Karen Ann
10304 N Hayden Rd Suite 8, Scottsdale AZ 85258-1217 -
Syms, Tara L
2367 Ga Highway 88 , Hephzibah GA 30815-4630 -
Reinhardt, Angie
575 N Sioux Point Rd , Dakota Dunes SD 57049-5312