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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1639174576 | NPPES |
| California | MEDICAID | 00G441210 |
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