Fisher, David Douglas

Fisher, David Douglas is an individual health care provider with primary practice located at 514 Beltrami Ave Nw , Bemidji MN 56601-3010. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fisher, David Douglas can be contacted via phone (218) 444-2845.

Contact Information

Primary practice address
514 Beltrami Ave Nw Bemidji MN 56601-3010
Phone: (218) 444-2845
Fax: (218) 444-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3535 Minnesota

Profile Details

NPI number 1093921967
LBN Legal business name Fisher, David Douglas
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 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 1093921967 NPPES
Minnesota Other 164M3FI BCBS OF MINNESOTA

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