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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1124019187 NPPES
Ohio MEDICAID 0805749

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