Fisher, Justin R
Fisher, Justin R is an individual health care provider with primary practice located at 207 W Fulton St , Ephrata PA 17522-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Fisher, Justin R can be contacted via phone (717) 721-8789.Contact Information
Primary practice address
207 W Fulton St
Ephrata PA 17522-1902
Phone: (717) 721-8789
Fax: (717) 715-1360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD425672 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD425672 | Pennsylvania |
Profile Details
| NPI number | 1306803721 |
|---|---|
| LBN Legal business name | Fisher, Justin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Nov 3rd, 2021 - about 3 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 | 1306803721 | NPPES |
| Pennsylvania | MEDICAID | 1026615390003 |
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