Lisak, James Chester
Lisak, James Chester is an sole proprietor health care provider with primary practice located at 360 Faunce Corner Rd # 3, North Dartmouth MA 02747-1257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Lisak, James Chester can be contacted via phone (774) 202-6240.Contact Information
Primary practice address
360 Faunce Corner Rd # 3
North Dartmouth MA 02747-1257
Phone: (774) 202-6240
Fax: (774) 202-5179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52025 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 52025 | Massachusetts |
Profile Details
| NPI number | 1336182260 |
|---|---|
| LBN Legal business name | Lisak, James Chester |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 3rd, 2016 - 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 | 1336182260 | NPPES |
| Massachusetts | MEDICAID | 3017117 | |
| Massachusetts | Other | J06006 |
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