Liskutin, Tomas E

Liskutin, Tomas E is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Liskutin, Tomas E can be contacted via phone (314) 747-2551.

Contact Information

Primary practice address
4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A Saint Louis MO 63110-1032
Phone: (314) 747-2551
Fax: (314) 747-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 13901333-1205 Utah
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 2023006696 Missouri

Profile Details

NPI number 1770089005
LBN Legal business name Liskutin, Tomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated May 25th, 2024 - about last year

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 1770089005 NPPES
Missouri MEDICAID 200124796

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