Rothberger, Lisa
Rothberger, Lisa is an individual health care provider with primary practice located at 842 N Highland Ave Ne Suite 275, Atlanta GA 30306-4530. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Rothberger, Lisa can be contacted via phone (404) 575-4000.Contact Information
Primary practice address
842 N Highland Ave Ne Suite 275
Atlanta GA 30306-4530
Phone: (404) 575-4000
Fax: (404) 575-4010
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004187 | Georgia |
Profile Details
NPI number | 1487632758 |
---|---|
LBN Legal business name | Rothberger, Lisa |
Credentials | SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2006 |
Last updated | Dec 21st, 2010 - about 15 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 | 1487632758 | NPPES |
Georgia | MEDICAID | 098232599A |
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