Fischbach, Thomas J

Fischbach, Thomas J is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5500 , South Bend IN 46601-1172. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fischbach, Thomas J can be contacted via phone (574) 647-5200.

Contact Information

Primary practice address
100 Navarre Pl Ste 5500 South Bend IN 46601-1172
Phone: (574) 647-5200
Fax: (574) 647-5210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01043728 Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01043728A Indiana

Profile Details

NPI number 1780679233
LBN Legal business name Fischbach, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 30th, 2021 - about 3 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 1780679233 NPPES
Indiana MEDICAID 200041710

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