Fisher, John Robert

Fisher, John Robert is an individual health care provider with primary practice located at 9545 S 20Th St , Oak Creek WI 53154-4929. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fisher, John Robert can be contacted via phone (262) 930-1776.

Contact Information

Primary practice address
9545 S 20Th St Oak Creek WI 53154-4929
Fax: (262) 364-2599
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3573012 Wisconsin

Profile Details

NPI number 1205859493
LBN Legal business name Fisher, John Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 21st, 2024 - about 8 months 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 1205859493 NPPES
Wisconsin MEDICAID 38962000

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