Fisher, Stephen Martin

Fisher, Stephen Martin is an individual health care provider with primary practice located at 4803 Ward Rd , Wheat Ridge CO 80033-1902. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fisher, Stephen Martin can be contacted via phone (303) 338-3800.

Contact Information

Primary practice address
4803 Ward Rd Wheat Ridge CO 80033-1902
Phone: (303) 338-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1333 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 2368 Colorado

Profile Details

NPI number 1356378368
LBN Legal business name Fisher, Stephen Martin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 20th, 2021 - about 3 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 1356378368 NPPES
Arizona Other 1333 STATE LICENSE
Arizona MEDICAID 90476522 STATE LICENSE
Arizona Other 021010 STATE LICENSE

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