Fishman, Paul Jordan
Fishman, Paul Jordan is an individual health care provider with primary practice located at 3885 Upham St 100, Wheat Ridge CO 80033-4880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Fishman, Paul Jordan can be contacted via phone (303) 742-0108.Contact Information
Primary practice address
3885 Upham St 100
Wheat Ridge CO 80033-4880
Phone: (303) 742-0108
Fax: (303) 742-0690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17709 | Colorado |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 17709 | Colorado |
Profile Details
NPI number | 1912014002 |
---|---|
LBN Legal business name | Fishman, Paul Jordan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Oct 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912014002 | NPPES |
Colorado | Other | 110086492 | RRW MEDICARE |
Colorado | MEDICAID | 01177096 | RRW MEDICARE |
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