Patt, Lisa Marie

Patt, Lisa Marie is an individual health care provider with primary practice located at 4800 Mexico Rd Ste 101 , Saint Peters MO 63376-1666. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Patt, Lisa Marie can be contacted via phone (314) 690-1525.

Contact Information

Primary practice address
4800 Mexico Rd Ste 101 Saint Peters MO 63376-1666
Fax: (636) 246-0446
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2006033498 Missouri

Profile Details

NPI number 1265579486
LBN Legal business name Patt, Lisa Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 26th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265579486 NPPES
Missouri Other 43-1738059 TAX IDENTIFICATION NUMBER
Missouri Other 2006033498 TAX IDENTIFICATION NUMBER
Missouri Other 705076 TAX IDENTIFICATION NUMBER
Missouri Other 7603897 TAX IDENTIFICATION NUMBER
Missouri Other 298105 TAX IDENTIFICATION NUMBER

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