Fischer, Carl R.

Fischer, Carl R. is an sole proprietor health care provider with primary practice located at 527 Medical Park Dr Ste 303, Bridgeport WV 26330-9008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fischer, Carl R. can be contacted via phone (304) 933-3872.

Contact Information

Primary practice address
527 Medical Park Dr Ste 303 Bridgeport WV 26330-9008
Phone: (304) 933-3872
Fax: (304) 933-3877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15725 West Virginia

Profile Details

NPI number 1336183490
LBN Legal business name Fischer, Carl R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Jun 11th, 2012 - about 13 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 1336183490 NPPES
West Virginia MEDICAID 0124644000
West Virginia Other 001721900

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