Fisher, Charles Ray
Fisher, Charles Ray is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Fisher, Charles Ray can be contacted via phone (210) 671-4516.Contact Information
Primary practice address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland TX 78236
Phone: (210) 671-4516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N5675 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30120-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 30120-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | N5675 | Texas |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 30120-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | N5675 | Texas |
Profile Details
| NPI number | 1215907019 |
|---|---|
| LBN Legal business name | Fisher, Charles Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Oct 16th, 2019 - about 5 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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