Lisle, James E

Lisle, James E is an individual health care provider with primary practice located at 3474 Liberty Rd S , Salem OR 97302-4607. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Lisle, James E can be contacted via phone (503) 588-8188.

Contact Information

Primary practice address
3474 Liberty Rd S Salem OR 97302-4607
Phone: (503) 588-8188
Fax: (503) 588-0884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 130 Oregon

Profile Details

NPI number 1740379387
LBN Legal business name Lisle, James E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 11th, 2010 - about 14 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 1740379387 NPPES
Oregon MEDICAID 268243

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