Lishnak, Timothy Stephen

Lishnak, Timothy Stephen is an sole proprietor health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lishnak, Timothy Stephen can be contacted via phone (860) 679-4477.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-4477
Fax: (860) 679-8770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 042.0012118 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042.0012118 Vermont

Profile Details

NPI number 1174725303
LBN Legal business name Lishnak, Timothy Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 1st, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174725303 NPPES
Connecticut MEDICAID 1174725303
Connecticut Other 1174725303

Popular Providers