Liston, Brad Alan
Liston, Brad Alan is an sole proprietor health care provider with primary practice located at 1908 N 14Th St Ste 204 , Ponca City OK 74601-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Liston, Brad Alan can be contacted via phone (580) 763-5900.Contact Information
Primary practice address
1908 N 14Th St Ste 204
Ponca City OK 74601-2039
Phone: (580) 763-5900
Fax: (580) 763-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 4659 | Oklahoma |
Profile Details
| NPI number | 1487817375 |
|---|---|
| LBN Legal business name | Liston, Brad Alan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2008 |
| Last updated | Sep 16th, 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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