Lisle, Robert W

Lisle, Robert W is an individual health care provider with primary practice located at 11 Arley Way Suite 201, Bluffton SC 29910-4883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lisle, Robert W can be contacted via phone (843) 706-8690.

Contact Information

Primary practice address
11 Arley Way Suite 201 Bluffton SC 29910-4883
Phone: (843) 706-8690
Fax: (843) 706-5066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D14318 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32158 South Carolina

Profile Details

NPI number 1619916012
LBN Legal business name Lisle, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 1st, 2011 - about 13 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 1619916012 NPPES
Maryland Other S1420009 CAREFIRST REGIONAL GBMC
Maryland Other KJ24GB-41705201 CAREFIRST REGIONAL GBMC
Maryland MEDICAID 026441500 CAREFIRST REGIONAL GBMC

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