Fisun, Anthony Yaroslav
Fisun, Anthony Yaroslav is an individual health care provider with primary practice located at 2008 President St , Philadelphia PA 19115-2607. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Fisun, Anthony Yaroslav can be contacted via phone (215) 200-0420.Contact Information
Primary practice address
2008 President St
Philadelphia PA 19115-2607
Phone: (215) 200-0420
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | SP014633 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | SP014633 | Pennsylvania |
Profile Details
NPI number | 1306223813 |
---|---|
LBN Legal business name | Fisun, Anthony Yaroslav |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2015 |
Last updated | Dec 9th, 2015 - about 10 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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