Fisher, Jay E

Fisher, Jay E is an individual health care provider with primary practice located at 5793 W Maple Rd Ste 147 , West Bloomfield MI 48322-4478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fisher, Jay E can be contacted via phone (248) 862-7221.

Contact Information

Primary practice address
5793 W Maple Rd Ste 147 West Bloomfield MI 48322-4478
Phone: (248) 862-7221
Fax: (248) 970-2941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301059572 Michigan

Profile Details

NPI number 1811970171
LBN Legal business name Fisher, Jay E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 4th, 2019 - about 5 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 1811970171 NPPES
Michigan Other 16OF35190 BCBSM
Michigan MEDICAID 4088803-10 BCBSM

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