Sabatka, Lisa R

Sabatka, Lisa R is an individual health care provider with primary practice located at 600 Ne 92Nd Ave , Vancouver WA 98664-3225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sabatka, Lisa R can be contacted via phone (360) 514-2142.

Contact Information

Primary practice address
600 Ne 92Nd Ave Vancouver WA 98664-3225
Fax: (360) 514-6820
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004034 Washington

Profile Details

NPI number 1508811472
LBN Legal business name Sabatka, Lisa R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 14th, 2008 - about 16 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 1508811472 NPPES
Washington MEDICAID 8357873

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