Lisner, Blaine M
Lisner, Blaine M is an sole proprietor health care provider with primary practice located at 3747 Diann Marie Rd , Louisville KY 40241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lisner, Blaine M can be contacted via phone (502) 426-9200.Contact Information
Primary practice address
3747 Diann Marie Rd
Louisville KY 40241
Phone: (502) 426-9200
Fax: (502) 426-9259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25368 | Kentucky |
Profile Details
| NPI number | 1629085949 |
|---|---|
| LBN Legal business name | Lisner, Blaine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Aug 5th, 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 | 1629085949 | NPPES |
| Other | P00230839 | RAILROAD MEDICARE | |
| Other | 279500 | RAILROAD MEDICARE | |
| MEDICAID | 036065238 2 | RAILROAD MEDICARE |
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