Fisher, Edwina

Fisher, Edwina is an individual health care provider with primary practice located at 1943 S Water St , Sapulpa OK 74066-6532. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Fisher, Edwina can be contacted via phone (918) 227-3800.

Contact Information

Primary practice address
1943 S Water St Sapulpa OK 74066-6532
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1831588995
LBN Legal business name Fisher, Edwina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - about 9 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 1831588995 NPPES
Oklahoma MEDICAID NA

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