Lisk, Jerome P
Lisk, Jerome P is an individual health care provider with primary practice located at 3120 Medpark Dr Ste 100 , Denton TX 76208-6982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lisk, Jerome P can be contacted via phone (940) 383-1770.Contact Information
Primary practice address
3120 Medpark Dr Ste 100
Denton TX 76208-6982
Phone: (940) 383-1770
Fax: (877) 319-1848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2004029825 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | R1074 | Texas |
Profile Details
| NPI number | 1821036500 |
|---|---|
| LBN Legal business name | Lisk, Jerome P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jan 27th, 2021 - about 5 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 | 1821036500 | NPPES |
| Texas | MEDICAID | 366511901 | |
| Texas | Other | P01773741 | |
| Texas | MEDICAID | 207238106 | |
| Texas | Other | 193247 | |
| Texas | Other | P00890011 |
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