Lis, Jonathan Brian

Lis, Jonathan Brian is an sole proprietor health care provider with primary practice located at 20 Isham Rd Ste 150 , West Hartford CT 06107-2204. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lis, Jonathan Brian can be contacted via phone (860) 527-1669.

Contact Information

Primary practice address
20 Isham Rd Ste 150 West Hartford CT 06107-2204
Phone: (860) 527-1669
Fax: (860) 293-0783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 67341 Connecticut

Profile Details

NPI number 1528558939
LBN Legal business name Lis, Jonathan Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2018
Last updated Jun 29th, 2021 - about 4 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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