Ribera, Lisa Carol
Ribera, Lisa Carol is an individual health care provider with primary practice located at 1701 N 13Th St , Shelton WA 98584-2077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ribera, Lisa Carol can be contacted via phone (360) 426-2653.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10005025 | Washington |
Profile Details
| NPI number | 1922165513 |
|---|---|
| LBN Legal business name | Ribera, Lisa Carol |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jun 6th, 2023 - about 2 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 | 1922165513 | NPPES |
| Washington | Other | PA10005025 | PA-C STATE LICENSE |
| Washington | MEDICAID | 8477416 | PA-C STATE LICENSE |
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