Lisko, Bradley Alex

Lisko, Bradley Alex is an individual health care provider with primary practice located at 110 Polaris Pkwy Ste 250, Westerville OH 43082-8074. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lisko, Bradley Alex can be contacted via phone (614) 865-4800.

Contact Information

Primary practice address
110 Polaris Pkwy Ste 250 Westerville OH 43082-8074
Phone: (614) 865-4800
Fax: (614) 865-4900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35063629L Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 350633629L Ohio

Profile Details

NPI number 1700889003
LBN Legal business name Lisko, Bradley Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Apr 29th, 2021 - about 3 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 1700889003 NPPES
Ohio MEDICAID 0154069

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