Stark-Jones, Lisa

Stark-Jones, Lisa is an individual health care provider with primary practice located at 1142 Orlando Dr , De Pere WI 54115-9484. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Stark-Jones, Lisa can be contacted via phone (920) 339-0700.

Contact Information

Primary practice address
1142 Orlando Dr De Pere WI 54115-9484
Phone: (920) 339-0700
Fax: (920) 330-0278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 286-026 Wisconsin

Profile Details

NPI number 1376669655
LBN Legal business name Stark-Jones, Lisa
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 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 1376669655 NPPES
Wisconsin MEDICAID 40739300

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