Fisch, Ronald David

Fisch, Ronald David is an sole proprietor health care provider with primary practice located at 2685 Lake Way , Cooper City FL 33026-3671. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fisch, Ronald David can be contacted via phone (954) 432-7663.

Contact Information

Primary practice address
2685 Lake Way Cooper City FL 33026-3671
Phone: (954) 432-7663
Fax: (954) 432-7663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH2582 Florida

Profile Details

NPI number 1275731457
LBN Legal business name Fisch, Ronald David
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Aug 13th, 2008 - about 16 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 1275731457 NPPES
Florida MEDICAID 769036300

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