Fisher, Cory M

Fisher, Cory M is an individual health care provider with primary practice located at 19324 Detroit Rd , Rocky River OH 44116-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisher, Cory M can be contacted via phone (440) 356-3640.

Contact Information

Primary practice address
19324 Detroit Rd Rocky River OH 44116-1802
Fax: (440) 356-3729
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.008679 Ohio

Profile Details

NPI number 1730304304
LBN Legal business name Fisher, Cory M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 26th, 2009 - about 16 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 1730304304 NPPES
Other 000000526275 ANTHEM BC/BS
Other 00000526262 ANTHEM BC/BS
MEDICAID 2749066 ANTHEM BC/BS
Other P00441657 ANTHEM BC/BS
Other P00705928 ANTHEM BC/BS

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