Fischer, Jerry L

Fischer, Jerry L is an individual health care provider with primary practice located at 2665 Douglas St , Omaha NE 68131-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fischer, Jerry L can be contacted via phone (402) 341-7761.

Contact Information

Primary practice address
2665 Douglas St Omaha NE 68131-2626
Fax: (402) 341-4841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 13846 Nebraska

Profile Details

NPI number 1376654780
LBN Legal business name Fischer, Jerry L
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 10th, 2019 - about 6 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 1376654780 NPPES
Iowa MEDICAID 2930982
Iowa Other 53577
Iowa MEDICAID 470781645
Iowa Other 30966
Iowa Other 470781645
Iowa Other 461
Iowa Other P00673790

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