Lisk, Thomas J

Lisk, Thomas J is an individual health care provider with primary practice located at 1969 W Hart Rd , Beloit WI 53511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lisk, Thomas J can be contacted via phone (608) 364-5269.

Contact Information

Primary practice address
1969 W Hart Rd Beloit WI 53511
Phone: (608) 364-5269
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29988020 Wisconsin

Profile Details

NPI number 1376563023
LBN Legal business name Lisk, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 17th, 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 1376563023 NPPES
Wisconsin Other 300034073 RAILROAD MEDICARE
Wisconsin MEDICAID 31481100 RAILROAD MEDICARE

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