Fischer, Staci Ann
Fischer, Staci Ann is an individual health care provider with primary practice located at 593 Eddy Street Apc921, Providence RI 02903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fischer, Staci Ann can be contacted via phone (401) 444-8450.Contact Information
Primary practice address
593 Eddy Street Apc921
Providence RI 02903
Phone: (401) 444-8450
Fax: (401) 444-5088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD10461 | Rhode Island |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 05-0450410 | Rhode Island |
Profile Details
| NPI number | 1609821404 |
|---|---|
| LBN Legal business name | Fischer, Staci Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Nov 19th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609821404 | NPPES |
| Massachusetts | MEDICAID | 5289098 | |
| Massachusetts | MEDICAID | 9022995 |
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