Fisk, Scott Garza
Fisk, Scott Garza is an sole proprietor health care provider with primary practice located at 210 W Main St Fl 2 , Danville KY 40422-1812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fisk, Scott Garza can be contacted via phone (859) 236-3726.Contact Information
Primary practice address
210 W Main St Fl 2
Danville KY 40422-1812
Phone: (859) 236-3726
Fax: (859) 236-3019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 44589 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 44589 | Kentucky |
Profile Details
| NPI number | 1780847343 |
|---|---|
| LBN Legal business name | Fisk, Scott Garza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | May 20th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780847343 | NPPES |
| Kentucky | MEDICAID | 7100184010 |
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