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Contact Information

THOMAS J LISK, MD
1969 W HART RD
BELOIT, WI53511
 Phone: 608-364-5269
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for THOMAS J LISK · (Male)

NPI Number 1376563023
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 07/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 29988020
  • WI Medicaid 31481100
  • WI Other 300034073 RAILROAD MEDICARE
Hospital affiliation(s)
  • BELOIT MEMORIAL HSPTL - (Acute Care)
    1969 W HART RD
    BELOIT, WI 53511
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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