Richter, Lisa M

Richter, Lisa M is an individual health care provider with primary practice located at 1011 Main St Ste 110 , Indianapolis IN 46224-6978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Richter, Lisa M can be contacted via phone (317) 957-9150.

Contact Information

Primary practice address
1011 Main St Ste 110 Indianapolis IN 46224-6978
Phone: (317) 957-9150
Fax: (317) 957-9965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002515A Indiana

Profile Details

NPI number 1306842414
LBN Legal business name Richter, Lisa M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306842414 NPPES
Indiana MEDICAID 200414080
Indiana Other P01456957
Indiana Other 000000228239

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