Ottenhoff, Lisa Yvette

Ottenhoff, Lisa Yvette is an sole proprietor health care provider with primary practice located at 391 S Shore Dr Ste 214 , Battle Creek MI 49014-5446. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ottenhoff, Lisa Yvette can be contacted via phone (269) 964-0153.

Contact Information

Primary practice address
391 S Shore Dr Ste 214 Battle Creek MI 49014-5446
Phone: (269) 964-0153
Fax: (855) 877-5812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801065659 Michigan

Profile Details

NPI number 1083613624
LBN Legal business name Ottenhoff, Lisa Yvette
Credentials LMSW, ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2005
Last updated Jun 15th, 2023 - 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 1083613624 NPPES
Michigan Other MI3674 MEDICARE PTAN

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