Liss, Jonathan Leonard
Liss, Jonathan Leonard is an individual health care provider with primary practice located at 7196 N Lake Dr Suite A, Columbus GA 31909-1693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Liss, Jonathan Leonard can be contacted via phone (706) 327-4000.Contact Information
Primary practice address
7196 N Lake Dr Suite A
Columbus GA 31909-1693
Phone: (706) 327-4000
Fax: (706) 324-2557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 039850 | Georgia |
Profile Details
| NPI number | 1386613743 |
|---|---|
| LBN Legal business name | Liss, Jonathan Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386613743 | NPPES |
| Georgia | MEDICAID | 00651934B |
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