Fisher, Gregory Alan

Fisher, Gregory Alan is an individual health care provider with primary practice located at 4022 Freedom Lake Dr , Durham NC 27704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fisher, Gregory Alan can be contacted via phone (919) 477-2202.

Contact Information

Primary practice address
4022 Freedom Lake Dr Durham NC 27704
Phone: (919) 477-2202
Fax: (919) 471-2270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22715 North Carolina

Profile Details

NPI number 1477519072
LBN Legal business name Fisher, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jan 27th, 2011 - about 14 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 1477519072 NPPES
Other 4221801 AETNA
Other 50120 AETNA
Other 1250174 AETNA
Other 32148 AETNA
Other 8932148 AETNA
MEDICAID 8932148 AETNA
Other 269612 AETNA

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