Oh, Emmy Lissa

Oh, Emmy Lissa is an individual health care provider with primary practice located at 11567 Canterwood Blvd , Gig Harbor WA 98332-5812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Oh, Emmy Lissa can be contacted via phone (253) 426-6341.

Contact Information

Primary practice address
11567 Canterwood Blvd Gig Harbor WA 98332-5812
Phone: (253) 426-6341
Fax: (253) 759-4699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60069044 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60069044 Washington

Profile Details

NPI number 1104014471
LBN Legal business name Oh, Emmy Lissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Mar 1st, 2024 - about last year

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 1104014471 NPPES
Washington MEDICAID 2002545

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