Fisher, Thomas

Fisher, Thomas is an sole proprietor health care provider with primary practice located at 2419 S. Lenox Street , Milwaukee WI 53207. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Fisher, Thomas can be contacted via phone (414) 704-1431.

Contact Information

Primary practice address
2419 S. Lenox Street Milwaukee WI 53207
Phone: (414) 704-1431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 820 Wisconsin
Behavioral Health & Social Service Providers / Health Service 103TH0100X 820 Wisconsin
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 820 Wisconsin

Profile Details

NPI number 1316008303
LBN Legal business name Fisher, Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316008303 NPPES
Other 40129 NATIONAL REGISTER OF HEAL

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