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
Phone: (615) 329-4227
Fax: (615) 329-8931
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780711804 | NPPES |
| Tennessee | Other | 4055109 | BLUE CROSS BLUE SHIELD |
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