Tubbs, Lisa

Tubbs, Lisa is an individual health care provider with primary practice located at 2014 Baltimore Reynoldsburg Rd , Reynoldsburg OH 43068-3261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tubbs, Lisa can be contacted via phone (614) 522-6900.

Contact Information

Primary practice address
2014 Baltimore Reynoldsburg Rd Reynoldsburg OH 43068-3261
Phone: (614) 522-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Ohio

Profile Details

NPI number 1619211307
LBN Legal business name Tubbs, Lisa
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 7th, 2019 - about 6 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 1619211307 NPPES
Ohio MEDICAID 0129137

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