Fisk, Allyce Katherine
Fisk, Allyce Katherine is an individual health care provider with primary practice located at 215 Radio Dr Ste 100 , Woodbury MN 55125-5817. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fisk, Allyce Katherine can be contacted via phone (612) 596-6100.Contact Information
Primary practice address
215 Radio Dr Ste 100
Woodbury MN 55125-5817
Phone: (612) 596-6100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11228 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
NPI number | 1730432709 |
---|---|
LBN Legal business name | Fisk, Allyce Katherine |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2012 |
Last updated | Feb 15th, 2021 - about 3 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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