Sisk, Dana L
Sisk, Dana L is an individual health care provider with primary practice located at 2201 N State Highway 121 , Bonham TX 75418-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sisk, Dana L can be contacted via phone (903) 583-3111.Contact Information
Primary practice address
2201 N State Highway 121
Bonham TX 75418-2345
Phone: (903) 583-3111
Fax: (903) 583-1444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E6174 | Texas |
Profile Details
NPI number | 1285661157 |
---|---|
LBN Legal business name | Sisk, Dana L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | Jan 26th, 2018 - about 6 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 | 1285661157 | NPPES |
Texas | MEDICAID | 120363001 | |
Texas | MEDICAID | 1203630-06 |
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