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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1316008303 | NPPES |
Other | 40129 | NATIONAL REGISTER OF HEAL |
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