Schabach, Lisa Kaye

Schabach, Lisa Kaye is an individual health care provider with primary practice located at 618 Memorial Dr , Chilton WI 53014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Schabach, Lisa Kaye can be contacted via phone (920) 849-7734.

Contact Information

Primary practice address
618 Memorial Dr Chilton WI 53014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 262433 Wisconsin

Profile Details

NPI number 1124086640
LBN Legal business name Schabach, Lisa Kaye
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 9th, 2008 - about 17 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 1124086640 NPPES
Wisconsin MEDICAID 36002300

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