White, Lisa
White, Lisa is an sole proprietor health care provider with primary practice located at 1190 Childers Rd , Caldwell WV 24925-7068. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. White, Lisa can be contacted via phone (304) 667-0020.Contact Information
Primary practice address
1190 Childers Rd
Caldwell WV 24925-7068
Phone: (304) 667-0020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1255926721 |
|---|---|
| LBN Legal business name | White, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2021 |
| Last updated | Mar 5th, 2021 - about 3 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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