Lisk, Robert G
Lisk, Robert G is an individual health care provider with primary practice located at 203 Hospital Dr Suite 200, Glen Burnie MD 21061-6904. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lisk, Robert G can be contacted via phone (410) 760-8840.Contact Information
Primary practice address
203 Hospital Dr Suite 200
Glen Burnie MD 21061-6904
Phone: (410) 760-8840
Fax: (410) 760-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0015711 | Maryland |
Profile Details
| NPI number | 1700884707 |
|---|---|
| LBN Legal business name | Lisk, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| 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 | 1700884707 | NPPES |
| Maryland | MEDICAID | 309821400 |
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