Fisco, Donald A

Fisco, Donald A is an individual health care provider with primary practice located at 280 Pattonsville Rd , Jackson OH 45640-9452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisco, Donald A can be contacted via phone (740) 395-8805.

Contact Information

Primary practice address
280 Pattonsville Rd Jackson OH 45640-9452
Phone: (740) 395-8805
Fax: (740) 395-8855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-00-2714 Ohio

Profile Details

NPI number 1013963875
LBN Legal business name Fisco, Donald A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 7th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013963875 NPPES
Ohio Other 000000174815 UNISON MEDICAID
Ohio MEDICAID 0823676 UNISON MEDICAID
Ohio MEDICAID 0043340000 UNISON MEDICAID
Ohio Other 000000007643 UNISON MEDICAID
Ohio Other 080040481 UNISON MEDICAID
Ohio Other 0823676 UNISON MEDICAID
Ohio Other 310917085037 UNISON MEDICAID
Ohio Other 001714054 UNISON MEDICAID

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