Sigmon, Lisa

Sigmon, Lisa is an individual health care provider with primary practice located at 185 Charlois Blvd , Winston Salem NC 27103-1521. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sigmon, Lisa can be contacted via phone (336) 725-0222.

Contact Information

Primary practice address
185 Charlois Blvd Winston Salem NC 27103-1521
Fax: (336) 725-0454
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2596 North Carolina

Profile Details

NPI number 1124023767
LBN Legal business name Sigmon, Lisa
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Sep 27th, 2007 - 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 1124023767 NPPES
North Carolina Other 87075 NC BCBS
North Carolina MEDICAID 7487075 NC BCBS

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