Fischell, Tim Alexander

Fischell, Tim Alexander is an individual health care provider with primary practice located at 1722 Shaffer St Suite 1, Kalamazoo MI 49048-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Fischell, Tim Alexander can be contacted via phone (269) 381-3963.

Contact Information

Primary practice address
1722 Shaffer St Suite 1 Kalamazoo MI 49048-1633
Phone: (269) 381-3963
Fax: (269) 381-2809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301068581 Michigan

Profile Details

NPI number 1891771440
LBN Legal business name Fischell, Tim Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1891771440 NPPES
Michigan MEDICAID 3265770

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