Mix, Lisa A
Mix, Lisa A is an individual health care provider with primary practice located at 900 S Dixie Dr Suite 40, Vandalia OH 45377-2657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mix, Lisa A can be contacted via phone (937) 890-6644.Contact Information
Primary practice address
900 S Dixie Dr Suite 40
Vandalia OH 45377-2657
Phone: (937) 890-6644
Fax: (937) 890-1726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NM05540 | Ohio |
Profile Details
| NPI number | 1871559179 |
|---|---|
| LBN Legal business name | Mix, Lisa A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 13th, 2013 - about 11 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 | 1871559179 | NPPES |
| Ohio | MEDICAID | 2339704 |
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