Olivero, Lisa M
Olivero, Lisa M is an individual health care provider with primary practice located at 2 Marjorie Trl , Ormond Beach FL 32174-8501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Olivero, Lisa M can be contacted via phone (386) 673-7904.Contact Information
Primary practice address
2 Marjorie Trl
Ormond Beach FL 32174-8501
Phone: (386) 673-7904
Fax: (386) 673-7904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA-31267 | Florida |
Profile Details
NPI number | 1003803750 |
---|---|
LBN Legal business name | Olivero, Lisa M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1003803750 | NPPES |
Florida | Other | C2727 | BCBS - MASSAGE THERAPY |
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