Fishman, Michael Alan

Fishman, Michael Alan is an sole proprietor health care provider with primary practice located at 755 Norman Dr , Lebanon PA 17042-7497. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Fishman, Michael Alan can be contacted via phone (717) 273-6706.

Contact Information

Primary practice address
755 Norman Dr Lebanon PA 17042-7497
Phone: (717) 273-6706
Fax: (717) 273-9910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD450715 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X C1-0011247 Delaware
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X C1-0011247 Delaware
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD450715 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD450715 Pennsylvania

Profile Details

NPI number 1841429156
LBN Legal business name Fishman, Michael Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2009
Last updated Apr 26th, 2024 - about 8 months 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 1841429156 NPPES
Pennsylvania MEDICAID 103612379
Pennsylvania MEDICAID 200164196

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