Lis, Edward J
Lis, Edward J is an individual health care provider with primary practice located at 6310 Sashabaw Rd Suite A, Clarkston MI 48346-2270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lis, Edward J can be contacted via phone (248) 620-2325.Contact Information
Primary practice address
6310 Sashabaw Rd Suite A
Clarkston MI 48346-2270
Phone: (248) 620-2325
Fax: (248) 620-2326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101014456 | Michigan |
Profile Details
| NPI number | 1952371338 |
|---|---|
| LBN Legal business name | Lis, Edward J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1952371338 | NPPES |
| Michigan | MEDICAID | 4623098 |
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