Fishman, Michael Alexander

Fishman, Michael Alexander is an sole proprietor health care provider with primary practice located at 550 River Rd , Eugene OR 97404-3212. He recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as his primary health care specialty. Fishman, Michael Alexander can be contacted via phone (541) 743-2611.

Contact Information

Primary practice address
550 River Rd Eugene OR 97404-3212
Fax:
Website:

Health care specialties

Profile Details

NPI number 1437494747
LBN Legal business name Fishman, Michael Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2012
Last updated Nov 28th, 2012 - about 13 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 1437494747 NPPES
Oregon MEDICAID 93-0605174

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