Fisch, Bruce J.

Fisch, Bruce J. is an individual health care provider with primary practice located at Neurology Msc 10 5620 1 University Of New Mexico, Albuquerque NM 87131-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fisch, Bruce J. can be contacted via phone (505) 272-3342.

Contact Information

Primary practice address
Neurology Msc 10 5620 1 University Of New Mexico Albuquerque NM 87131-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD2007-0537 New Mexico

Profile Details

NPI number 1407878911
LBN Legal business name Fisch, Bruce J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 18th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407878911 NPPES
Louisiana MEDICAID 190175
Louisiana MEDICAID 26025728

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