Fischer, Nathan Roberto

Fischer, Nathan Roberto is an sole proprietor health care provider with primary practice located at 580 Cottage Grove Rd , Bloomfield CT 06002-3088. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fischer, Nathan Roberto can be contacted via phone (860) 242-6261.

Contact Information

Primary practice address
580 Cottage Grove Rd Bloomfield CT 06002-3088
Fax: (860) 243-5184
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 015870 Connecticut

Profile Details

NPI number 1932291523
LBN Legal business name Fischer, Nathan Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1932291523 NPPES
Connecticut Other 746105 CONNECTICARE
Connecticut MEDICAID 1158708 CONNECTICARE
Connecticut Other HAP093 CONNECTICARE
Connecticut Other OPO951 CONNECTICARE
Connecticut Other 010015870CT05 CONNECTICARE

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