Sasso, Lisa Marie
Sasso, Lisa Marie is an individual health care provider with primary practice located at 901 Medical Park Dr Ste 100 , Effingham IL 62401-2191. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Sasso, Lisa Marie can be contacted via phone (217) 347-3003.Contact Information
Primary practice address
901 Medical Park Dr Ste 100
Effingham IL 62401-2191
Phone: (217) 347-3003
Fax: (217) 347-3005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036127387 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036127387 | Illinois |
Profile Details
NPI number | 1790941581 |
---|---|
LBN Legal business name | Sasso, Lisa Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2008 |
Last updated | Dec 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790941581 | NPPES |
Illinois | MEDICAID | 036127387 |
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