Fishbaugh, Michael A.

Fishbaugh, Michael A. is an sole proprietor health care provider with primary practice located at 570 Kremer Hoying Rd. Suite F, St. Henry OH 45883-0040. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fishbaugh, Michael A. can be contacted via phone (419) 678-8800.

Contact Information

Primary practice address
570 Kremer Hoying Rd. Suite F St. Henry OH 45883-0040
Fax: (419) 678-4224
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4643/T1418 Ohio

Profile Details

NPI number 1225036197
LBN Legal business name Fishbaugh, Michael A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Dec 12th, 2023 - about 2 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 1225036197 NPPES
Ohio Other 34184720300 ST HENRY BWC
Ohio Other 410046531 ST HENRY BWC
Ohio Other 000000141871 ST HENRY BWC
Ohio Other 04072 ST HENRY BWC
Ohio Other FI266725 ST HENRY BWC
Ohio MEDICAID 0172343 ST HENRY BWC
Ohio Other 34184720301 ST HENRY BWC
Ohio Other 360656 ST HENRY BWC

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