Liskanich, Ronald Demetri
Liskanich, Ronald Demetri is an sole proprietor health care provider with primary practice located at 954 W Foothill Blvd Ste B , Upland CA 91786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Liskanich, Ronald Demetri can be contacted via phone (909) 949-7500.Contact Information
Primary practice address
954 W Foothill Blvd Ste B
Upland CA 91786
Phone: (909) 949-7500
Fax: (909) 946-1133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 20A4952 | California |
Profile Details
| NPI number | 1245391820 |
|---|---|
| LBN Legal business name | Liskanich, Ronald Demetri |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245391820 | NPPES |
| California | MEDICAID | 00AX49520 | |
| California | Other | 020A49520 |
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