Fisher, Jack

Fisher, Jack is an sole proprietor health care provider with primary practice located at 310 23Rd Ave N Ste 101 , Nashville TN 37203-1525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Fisher, Jack can be contacted via phone (615) 329-4227.

Contact Information

Primary practice address
310 23Rd Ave N Ste 101 Nashville TN 37203-1525
Fax: (615) 329-8931
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD17457 Tennessee

Profile Details

NPI number 1780711804
LBN Legal business name Fisher, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 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 1780711804 NPPES
Tennessee Other 4055109 BLUE CROSS BLUE SHIELD

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