Fisch, Shirley
Fisch, Shirley is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Fisch, Shirley can be contacted via phone (732) 923-7790.Contact Information
Primary practice address
300 2Nd Ave
Long Branch NJ 07740-6303
Phone: (732) 923-7790
Fax: (732) 923-7722
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 25MA07978600 | New Jersey |
Profile Details
NPI number | 1972579621 |
---|---|
LBN Legal business name | Fisch, Shirley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Feb 13th, 2013 - about 11 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 | 1972579621 | NPPES |
New Jersey | Other | 2776539000 | AMERIHEALTH |
New Jersey | Other | 60037643 | AMERIHEALTH |
New Jersey | Other | 9107622 | AMERIHEALTH |
New Jersey | Other | 7138088 | AMERIHEALTH |
New Jersey | Other | 223316007-093 | AMERIHEALTH |
New Jersey | MEDICAID | 0150975 | AMERIHEALTH |
New Jersey | Other | 223316007P | AMERIHEALTH |
New Jersey | Other | 3K7753 | AMERIHEALTH |
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