Spicer, Lisa M
Spicer, Lisa M is an sole proprietor health care provider with primary practice located at 900 Madison Ave Suite 209, Bridgeport CT 06606-5534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Spicer, Lisa M can be contacted via phone (203) 335-0195.Contact Information
Primary practice address
900 Madison Ave Suite 209
Bridgeport CT 06606-5534
Phone: (203) 335-0195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 003792 | Connecticut |
Profile Details
| NPI number | 1962679969 |
|---|---|
| LBN Legal business name | Spicer, Lisa M |
| Credentials | ANP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2008 |
| Last updated | Feb 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962679969 | NPPES |
| Connecticut | Other | 003792 | CONNECTICUT APRN LICENSE |
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