Fischbach, Gary T

Fischbach, Gary T is an sole proprietor health care provider with primary practice located at 6124 Woodside Executive Ct , Aiken SC 29803-3820. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fischbach, Gary T can be contacted via phone (803) 226-0112.

Contact Information

Primary practice address
6124 Woodside Executive Ct Aiken SC 29803-3820
Phone: (803) 226-0112
Fax: (803) 226-0132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0502521 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10758 South Carolina

Profile Details

NPI number 1174589204
LBN Legal business name Fischbach, Gary T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Feb 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174589204 NPPES
South Carolina MEDICAID 107583
South Carolina Other 562134996

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