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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1700889003 | NPPES |
Ohio | MEDICAID | 0154069 |
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