Wenger, Lisa Dianne
Wenger, Lisa Dianne is an sole proprietor health care provider with primary practice located at 600 Medical Dr , Wentzville MO 63385-3426. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wenger, Lisa Dianne can be contacted via phone (636) 327-1332.Contact Information
Primary practice address
600 Medical Dr
Wentzville MO 63385-3426
Phone: (636) 327-1332
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2008008554 | Missouri |
Profile Details
| NPI number | 1487826459 |
|---|---|
| LBN Legal business name | Wenger, Lisa Dianne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2008 |
| Last updated | Dec 5th, 2019 - about 5 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 | 1487826459 | NPPES |
| Missouri | Other | 2008008554 | PROFESSIONAL REGISTRATION |
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