Fisher, Mark Donald
Fisher, Mark Donald is an sole proprietor health care provider with primary practice located at 1207 Delaware Ave Ste 490 , Buffalo NY 14209-1458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Fisher, Mark Donald can be contacted via phone (716) 830-1350.Contact Information
Primary practice address
1207 Delaware Ave Ste 490
Buffalo NY 14209-1458
Phone: (716) 830-1350
Fax: (716) 205-7525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 207389 | New York |
Profile Details
| NPI number | 1447229562 |
|---|---|
| LBN Legal business name | Fisher, Mark Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447229562 | NPPES |
| New York | MEDICAID | 02097354 |
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