Fisher, Anastasia Camille

Fisher, Anastasia Camille is an individual health care provider with primary practice located at 1900 Gordon Cooper Drive , Shawnee OK 74801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Fisher, Anastasia Camille can be contacted via phone (405) 878-7160.

Contact Information

Primary practice address
1900 Gordon Cooper Drive Shawnee OK 74801
Fax: (405) 878-7129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4406 Oklahoma

Profile Details

NPI number 1780761833
LBN Legal business name Fisher, Anastasia Camille
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 29th, 2009 - about 15 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 1780761833 NPPES
Oklahoma MEDICAID 200094540A

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