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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1134363518 NPPES
Ohio MEDICAID 0292539
Ohio MEDICAID Q060604
Ohio Other H635870

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