Fisher, Randall G.
Fisher, Randall G. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Fisher, Randall G. can be contacted via phone (757) 668-7238.Contact Information
Primary practice address
601 Childrens Ln
Norfolk VA 23507-1910
Phone: (757) 668-7238
Fax: (757) 668-8275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 0101226367 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101226367 | Virginia |
Profile Details
| NPI number | 1831140946 |
|---|---|
| LBN Legal business name | Fisher, Randall G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Dec 9th, 2009 - about 15 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 | 1831140946 | NPPES |
| North Carolina | MEDICAID | 89063HK | |
| North Carolina | MEDICAID | 0018694790001 | |
| North Carolina | MEDICAID | 131701601 | |
| North Carolina | MEDICAID | 006702597 | |
| North Carolina | MEDICAID | 1000016090 |
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