Fisher, Timothy

Fisher, Timothy is an sole proprietor health care provider with primary practice located at 4112 Laramie St , Cheyenne WY 82001-1969. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Fisher, Timothy can be contacted via phone (307) 514-9901.

Contact Information

Primary practice address
4112 Laramie St Cheyenne WY 82001-1969
Phone: (307) 514-9901
Fax: (307) 275-9880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 113 Wyoming

Profile Details

NPI number 1275623001
LBN Legal business name Fisher, Timothy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Nov 14th, 2018 - about 7 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 1275623001 NPPES
Wyoming MEDICAID 121842500

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