Weber, Lisa A

Weber, Lisa A is an individual health care provider with primary practice located at 1035 N Emporia St Ste #105, Wichita KS 67214-2944. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Weber, Lisa A can be contacted via phone (316) 263-7285.

Contact Information

Primary practice address
1035 N Emporia St Ste #105 Wichita KS 67214-2944
Fax: (316) 266-4682
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0429793 Kansas

Profile Details

NPI number 1134126436
LBN Legal business name Weber, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 16th, 2011 - about 14 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 1134126436 NPPES
Kansas MEDICAID 100429620A

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