Lidsky, Nathan

Lidsky, Nathan is an individual health care provider with primary practice located at 1481 Hollis Rdg , Clarksville TN 37043-1522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Lidsky, Nathan can be contacted via phone (847) 987-2121.

Contact Information

Primary practice address
1481 Hollis Rdg Clarksville TN 37043-1522
Phone: (847) 987-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 60432 Tennessee

Profile Details

NPI number 1083663280
LBN Legal business name Lidsky, Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated May 13th, 2024 - 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 1083663280 NPPES
Illinois MEDICAID 0360785681
Illinois MEDICAID 0360785682
Illinois Other P00249292
Illinois Other 036078568

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