Fisher, Bruce D

Fisher, Bruce D is an sole proprietor health care provider with primary practice located at 1016 9Th St S , Great Falls MT 59405-4401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fisher, Bruce D can be contacted via phone (406) 262-3462.

Contact Information

Primary practice address
1016 9Th St S Great Falls MT 59405-4401
Fax: (406) 771-6575
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 145 Montana

Profile Details

NPI number 1417920521
LBN Legal business name Fisher, Bruce D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Mar 7th, 2024 - about last year

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 1417920521 NPPES
Montana MEDICAID 0000390273

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