Fischbach, Candy Sue
Fischbach, Candy Sue is an individual health care provider with primary practice located at 1228 Hogarth Dr , Louisville KY 40222-5748. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fischbach, Candy Sue can be contacted via phone (502) 931-5231.Contact Information
Primary practice address
1228 Hogarth Dr
Louisville KY 40222-5748
Phone: (502) 931-5231
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 369 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA369 | Kentucky |
Profile Details
NPI number | 1992703383 |
---|---|
LBN Legal business name | Fischbach, Candy Sue |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2005 |
Last updated | Apr 3rd, 2015 - about 10 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 | 1992703383 | NPPES |
Kentucky | Other | 000000246341 | ANTHEM |
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