Bisker, Jeffrey S.
Bisker, Jeffrey S. is an individual health care provider with primary practice located at 3700 Park East Dr Suite 450, Beachwood OH 44122-4305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bisker, Jeffrey S. can be contacted via phone (855) 292-1401.Contact Information
Primary practice address
3700 Park East Dr Suite 450
Beachwood OH 44122-4305
Phone: (855) 292-1401
Fax: (866) 396-8340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ME0031722 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME0031722 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 131808-1 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 419229 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 21975 | Kentucky |
Profile Details
| NPI number | 1235183435 |
|---|---|
| LBN Legal business name | Bisker, Jeffrey S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | May 27th, 2016 - about 10 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 | 1235183435 | NPPES |
| Other | 186465 | AMERIGROUP | |
| Other | ME31722 | AMERIGROUP | |
| Other | 696678 | AMERIGROUP | |
| MEDICAID | 7100200600 | AMERIGROUP | |
| Other | P00402367 | AMERIGROUP | |
| MEDICAID | 0773177 | AMERIGROUP | |
| MEDICAID | 097830500 | AMERIGROUP | |
| MEDICAID | 1028868150001 | AMERIGROUP | |
| MEDICAID | 1235183435 | AMERIGROUP | |
| Other | O55404473 | AMERIGROUP | |
| MEDICAID | 267034800 | AMERIGROUP | |
| Other | 29167 | AMERIGROUP |
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