Fisch, Bruce J

Fisch, Bruce J is an individual health care provider with primary practice located at 9695 S Yosemite St Suite 285, Lone Tree CO 80124-2888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fisch, Bruce J can be contacted via phone (303) 799-8760.

Contact Information

Primary practice address
9695 S Yosemite St Suite 285 Lone Tree CO 80124-2888
Phone: (303) 799-8760
Fax: (303) 799-8767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 31254 Colorado

Profile Details

NPI number 1639151913
LBN Legal business name Fisch, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Apr 17th, 2015 - about 11 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 1639151913 NPPES
Colorado MEDICAID 01312545
Colorado Other C462628

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