Fisco, James R

Fisco, James R is an individual health care provider with primary practice located at 70 Remick Blvd , Springboro OH 45066-9168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisco, James R can be contacted via phone (937) 885-0701.

Contact Information

Primary practice address
70 Remick Blvd Springboro OH 45066-9168
Fax: (937) 885-0702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34004435F Ohio

Profile Details

NPI number 1245233766
LBN Legal business name Fisco, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated May 8th, 2014 - about 10 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 1245233766 NPPES
Ohio Other 2202445 AETNA
Ohio Other 000000337888 AETNA
Ohio Other 0443503 AETNA
Ohio Other 421534506086 AETNA
Ohio Other 080191710 AETNA
Ohio Other 000000227888 AETNA
Ohio MEDICAID 0704429 AETNA
Ohio Other 0102237 AETNA
Ohio Other 34004435F AETNA

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