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:
Health care specialties
| Specialty | Code | License # | 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 8 months 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 | 1104014471 | NPPES |
| Washington | MEDICAID | 2002545 |
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