Fisher, Jeremy Gabriel
Fisher, Jeremy Gabriel is an sole proprietor health care provider with primary practice located at 979 E 3Rd St Ste 300 , Chattanooga TN 37403-2187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Fisher, Jeremy Gabriel can be contacted via phone (423) 267-0466.Contact Information
Primary practice address
979 E 3Rd St Ste 300
Chattanooga TN 37403-2187
Phone: (423) 267-0466
Fax: (423) 778-5177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 35.128754 | Ohio |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 61514 | Tennessee |
Profile Details
NPI number | 1134363518 |
---|---|
LBN Legal business name | Fisher, Jeremy Gabriel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 28th, 2009 |
Last updated | Sep 29th, 2023 - about 2 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 | 1134363518 | NPPES |
Ohio | MEDICAID | 0292539 | |
Ohio | MEDICAID | Q060604 | |
Ohio | Other | H635870 |
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