Lister, John

Lister, John is an individual health care provider with primary practice located at 4815 Liberty Ave Ste 322 , Pittsburgh PA 15224-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Lister, John can be contacted via phone (412) 578-4484.

Contact Information

Primary practice address
4815 Liberty Ave Ste 322 Pittsburgh PA 15224-2156
Fax: (412) 578-3536
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD046293L Pennsylvania

Profile Details

NPI number 1649276171
LBN Legal business name Lister, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 1st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649276171 NPPES
Ohio MEDICAID 2691609
Ohio MEDICAID 217052000
Ohio MEDICAID 001278742

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