Fisher, Michael Alan
Fisher, Michael Alan is an sole proprietor health care provider with primary practice located at 10 N Cumberland Ave , Park Ridge IL 60068-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisher, Michael Alan can be contacted via phone (847) 825-0300.Contact Information
Primary practice address
10 N Cumberland Ave
Park Ridge IL 60068-3215
Phone: (847) 825-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036090789 | Illinois |
Profile Details
| NPI number | 1760481220 |
|---|---|
| LBN Legal business name | Fisher, Michael Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Oct 11th, 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 | 1760481220 | NPPES |
| Illinois | MEDICAID | 036090789 | |
| Illinois | Other | 1634494 |
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