Fisher, Alan Jeffrey

Fisher, Alan Jeffrey is an sole proprietor health care provider with primary practice located at 612 W Duarte Rd Ste 705, Arcadia CA 91007-9246. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Fisher, Alan Jeffrey can be contacted via phone (626) 445-3301.

Contact Information

Primary practice address
612 W Duarte Rd Ste 705 Arcadia CA 91007-9246
Phone: (626) 445-3301
Fax: (626) 445-1020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G44121 California
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X G44121 California

Profile Details

NPI number 1639174576
LBN Legal business name Fisher, Alan Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jan 11th, 2017 - about 8 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 1639174576 NPPES
California MEDICAID 00G441210

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