Fish, Larry A.
Fish, Larry A. is an individual health care provider with primary practice located at 2330 E High St , Springfield OH 45505-1371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fish, Larry A. can be contacted via phone (937) 324-3937.Contact Information
Primary practice address
2330 E High St
Springfield OH 45505-1371
Phone: (937) 324-3937
Fax: (937) 324-8943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35-06-2993 | Ohio |
Profile Details
| NPI number | 1124019187 |
|---|---|
| LBN Legal business name | Fish, Larry A. |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 8th, 2021 - about 4 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 | 1124019187 | NPPES |
| Ohio | MEDICAID | 0805749 |
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