Starkey, Lisa Mary

Starkey, Lisa Mary is an individual health care provider with primary practice located at 22250 Providence Dr Ste #705, Southfield MI 48075-6215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Starkey, Lisa Mary can be contacted via phone (248) 552-9858.

Contact Information

Primary practice address
22250 Providence Dr Ste #705 Southfield MI 48075-6215
Phone: (248) 552-9858
Fax: (248) 552-9510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4704146061 Michigan

Profile Details

NPI number 1528041084
LBN Legal business name Starkey, Lisa Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jan 14th, 2011 - about 13 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 1528041084 NPPES
Other 7597565 AETNA PIN
MEDICAID 4648426 AETNA PIN

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