Fisher, Keith Denton

Fisher, Keith Denton is an individual health care provider with primary practice located at 909 9Th Avenue #404, Fort Worth TX 76104-3918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Fisher, Keith Denton can be contacted via phone (817) 332-1782.

Contact Information

Primary practice address
909 9Th Avenue #404 Fort Worth TX 76104-3918
Phone: (817) 332-1782
Fax: (817) 336-8619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X H2374 Texas

Profile Details

NPI number 1265423107
LBN Legal business name Fisher, Keith Denton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Apr 7th, 2017 - about 8 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 1265423107 NPPES
Other 4307768 AETNA
Other 751869812 AETNA
MEDICAID 117768501 AETNA
Other 180039966 AETNA

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