Fishman, Gerald A
Fishman, Gerald A is an individual health care provider with primary practice located at 1526 Lake Murray Blvd , Columbia SC 29212-8622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fishman, Gerald A can be contacted via phone (803) 749-1155.Contact Information
Primary practice address
1526 Lake Murray Blvd
Columbia SC 29212-8622
Phone: (803) 749-1155
Fax: (803) 791-2203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 8885 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8885 | South Carolina |
Profile Details
| NPI number | 1508873019 |
|---|---|
| LBN Legal business name | Fishman, Gerald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Aug 12th, 2022 - about 2 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 | 1508873019 | NPPES |
| South Carolina | MEDICAID | 088853 |
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