Liesman, Robert M

Liesman, Robert M is an sole proprietor health care provider with primary practice located at 2115 E 7Th St Suite 102, Charlotte NC 28204-3307. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Liesman, Robert M can be contacted via phone (704) 442-8433.

Contact Information

Primary practice address
2115 E 7Th St Suite 102 Charlotte NC 28204-3307
Phone: (704) 442-8433
Fax: (704) 817-9957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 356 North Carolina

Profile Details

NPI number 1548351687
LBN Legal business name Liesman, Robert M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Nov 21st, 2018 - about 8 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 1548351687 NPPES
North Carolina MEDICAID 8908158
North Carolina Other 0268L

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