Lischke, Stefan

Lischke, Stefan is an individual health care provider with primary practice located at 130 Fisher Rd Mob-A, Suite 2-1, Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lischke, Stefan can be contacted via phone (802) 225-5660.

Contact Information

Primary practice address
130 Fisher Rd Mob-A, Suite 2-1 Berlin VT 05602-9516
Phone: (802) 225-5660
Fax: (802) 229-9533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 042.0012827 Vermont

Profile Details

NPI number 1295998094
LBN Legal business name Lischke, Stefan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 18th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295998094 NPPES
Vermont MEDICAID 1023254

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