Schaefer, Lisa M

Schaefer, Lisa M is an individual health care provider with primary practice located at 1900 E College Ave , Normal IL 61761-4577. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Schaefer, Lisa M can be contacted via phone (309) 888-0810.

Contact Information

Primary practice address
1900 E College Ave Normal IL 61761-4577
Phone: (309) 888-0810
Fax: (309) 888-0865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26014322A Indiana
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1972792943
LBN Legal business name Schaefer, Lisa M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Oct 16th, 2007 - about 18 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 1972792943 NPPES
Indiana Other 26014322A RPH LICENSE

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