Liston, Michael James
Liston, Michael James is an individual health care provider with primary practice located at 100 Gore Rd , Morris IL 60450-9466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Liston, Michael James can be contacted via phone (815) 364-8919.Contact Information
Primary practice address
100 Gore Rd
Morris IL 60450-9466
Phone: (815) 364-8919
Fax: (815) 942-4913
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036.129326 | Illinois |
Profile Details
NPI number | 1235362971 |
---|---|
LBN Legal business name | Liston, Michael James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2009 |
Last updated | Oct 23rd, 2018 - about 7 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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