Wolff, Lisa M.

Wolff, Lisa M. is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wolff, Lisa M. can be contacted via phone (574) 247-9441.

Contact Information

Primary practice address
53880 Carmichael Dr South Bend IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05004261A Indiana

Profile Details

NPI number 1669520185
LBN Legal business name Wolff, Lisa M.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 13th, 2023 - about 2 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 1669520185 NPPES
Indiana MEDICAID 200876270

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