Fisher, Courtney M
Fisher, Courtney M is an sole proprietor health care provider with primary practice located at 305 Ashley Ave , Charleston SC 29403-4616. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Fisher, Courtney M can be contacted via phone (843) 577-7791.Contact Information
Primary practice address
305 Ashley Ave
Charleston SC 29403-4616
Phone: (843) 577-7791
Fax: (843) 577-9136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11626 | South Carolina |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 11626 | South Carolina |
Profile Details
| NPI number | 1720040801 |
|---|---|
| LBN Legal business name | Fisher, Courtney M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jan 9th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720040801 | NPPES |
| South Carolina | MEDICAID | 116261 |
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