Salata, Lisa Peterson

Salata, Lisa Peterson is an individual health care provider with primary practice located at 200 Rockridge Rd Ste 100 , Englewood OH 45322-2728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Salata, Lisa Peterson can be contacted via phone (937) 274-2117.

Contact Information

Primary practice address
200 Rockridge Rd Ste 100 Englewood OH 45322-2728
Phone: (937) 274-2117
Fax: (937) 274-9809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35076934 Ohio

Profile Details

NPI number 1710081096
LBN Legal business name Salata, Lisa Peterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 24th, 2023 - about last year

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 1710081096 NPPES
Ohio MEDICAID 2277950

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