Lisa Bockrath
Individual provider Active NPI Homemaker · Ottawa, OH
NPI 1992537138 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1992537138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1570 N Perry St Lot 17a
Ottawa, OH 45875-1131 - Phone
- (419) 615-0834
- NPI assigned
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1570 N Perry St Lot 17a
Ottawa, OH 45875-1131
Mailing address
1570 N Perry St Lot 17a
Ottawa, OH 45875-1131
Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.