Fishman, Mary Susan

Fishman, Mary Susan is an individual health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fishman, Mary Susan can be contacted via phone (270) 825-5100.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1644
Fax:
Website:

Health care specialties

Profile Details

NPI number 1598862138
LBN Legal business name Fishman, Mary Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jan 8th, 2015 - about 9 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 1598862138 NPPES
Kentucky Other 699A LICENSE
Kentucky Other 000000044289 LICENSE
Kentucky MEDICAID 74349499 LICENSE

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