Fisher, Timothy Dean

Fisher, Timothy Dean is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fisher, Timothy Dean can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01047162A Indiana

Profile Details

NPI number 1467421859
LBN Legal business name Fisher, Timothy Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 2nd, 2021 - about 4 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 1467421859 NPPES
Indiana Other 10825081 CAQH NUMBER
Indiana Other 9397064 CAQH NUMBER
Indiana Other 000000191349 CAQH NUMBER
Indiana MEDICAID 200239110 CAQH NUMBER

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