Fish, Stephen M
Fish, Stephen M is an individual health care provider with primary practice located at 404 Main Ave S , North Bend WA 98045-8215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fish, Stephen M can be contacted via phone (425) 888-5511.Contact Information
Primary practice address
404 Main Ave S
North Bend WA 98045-8215
Phone: (425) 888-5511
Fax: (425) 888-5513
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00024257 | Washington |
Profile Details
NPI number | 1366493959 |
---|---|
LBN Legal business name | Fish, Stephen M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Oct 27th, 2010 - about 14 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 | 1366493959 | NPPES |
Washington | Other | 8TA009 | TRAILBLAZER MEDICARE FIRST LOCATION |
Washington | MEDICAID | 1042852 | TRAILBLAZER MEDICARE FIRST LOCATION |
Washington | Other | 8TA098 | TRAILBLAZER MEDICARE FIRST LOCATION |
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