Whittenton, Lisa
Whittenton, Lisa is an individual health care provider with primary practice located at 1289 Oliver St , Fayetteville NC 28304-4450. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Whittenton, Lisa can be contacted via phone (910) 483-8331.Contact Information
Primary practice address
1289 Oliver St
Fayetteville NC 28304-4450
Phone: (910) 483-8331
Fax: (910) 483-8335
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
NPI number | 1811043375 |
---|---|
LBN Legal business name | Whittenton, Lisa |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1811043375 | NPPES |
North Carolina | MEDICAID | 7387257 |
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