Fisher, Mark A.

Fisher, Mark A. is an sole proprietor health care provider with primary practice located at 3524 Nw 56Th St , Oklahoma City OK 73112-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fisher, Mark A. can be contacted via phone (405) 751-6440.

Contact Information

Primary practice address
3524 Nw 56Th St Oklahoma City OK 73112-4518
Phone: (405) 751-6440
Fax: (405) 563-9368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 19624 Oklahoma

Profile Details

NPI number 1700970274
LBN Legal business name Fisher, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Oct 22nd, 2021 - about 4 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 1700970274 NPPES
Oklahoma MEDICAID 100214350A
Oklahoma Other 73-1614843

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