Liss, Zachary Jonathan
Liss, Zachary Jonathan is an individual health care provider with primary practice located at 20952 E 12 Mile Rd Suite 200, Saint Clair Shores MI 48081-3200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Liss, Zachary Jonathan can be contacted via phone (586) 771-4820.Contact Information
Primary practice address
20952 E 12 Mile Rd Suite 200
Saint Clair Shores MI 48081-3200
Phone: (586) 771-4820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 4301092867 | Michigan |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301092867 | Michigan |
Profile Details
| NPI number | 1457592990 |
|---|---|
| LBN Legal business name | Liss, Zachary Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2009 |
| Last updated | Aug 6th, 2015 - about 10 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 | 1457592990 | NPPES |
| Michigan | Other | CB9133 | RAILROAD MEDICARE |
| Michigan | Other | 340E062730 | RAILROAD MEDICARE |
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