Disher, Michael J
Disher, Michael J is an sole proprietor health care provider with primary practice located at 9604 Coldwater Rd Ste 101 , Fort Wayne IN 46825-2096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Disher, Michael J can be contacted via phone (260) 387-5820.Contact Information
Primary practice address
9604 Coldwater Rd Ste 101
Fort Wayne IN 46825-2096
Phone: (260) 387-5820
Fax: (855) 828-7823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 35 078705 | Ohio |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01044624A | Indiana |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 01044624A | Indiana |
Profile Details
| NPI number | 1205828985 |
|---|---|
| LBN Legal business name | Disher, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Nov 3rd, 2023 - about 2 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 | 1205828985 | NPPES |
| Indiana | MEDICAID | 200091970 | |
| Indiana | MEDICAID | 0232297 |
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