Fisher, Brock C.

Fisher, Brock C. is an individual health care provider with primary practice located at 3626 Ruffin Rd , San Diego CA 92123-1810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Fisher, Brock C. can be contacted via phone (858) 565-9666.

Contact Information

Primary practice address
3626 Ruffin Rd San Diego CA 92123-1810
Phone: (858) 565-9666
Fax: (858) 565-9441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G55342 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X G55342 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X G55342 California

Profile Details

NPI number 1144256470
LBN Legal business name Fisher, Brock C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Dec 5th, 2007 - about 17 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 1144256470 NPPES
California Other 00G553420 BLUE SHIELD OF CA
California MEDICAID 00G553420 BLUE SHIELD OF CA

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