Fischer, Desmond Lawrence
Fischer, Desmond Lawrence is an sole proprietor health care provider with primary practice located at 1313 Mccallie Ave , Chattanooga TN 37404-2934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fischer, Desmond Lawrence can be contacted via phone (423) 892-9729.Contact Information
Primary practice address
1313 Mccallie Ave
Chattanooga TN 37404-2934
Phone: (423) 892-9729
Fax: (423) 648-9040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD0000018485 | Tennessee |
Profile Details
| NPI number | 1598881039 |
|---|---|
| LBN Legal business name | Fischer, Desmond Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1598881039 | NPPES |
| Tennessee | Other | 100052419 | PHP TENNCARE |
| Tennessee | MEDICAID | 3402061 | PHP TENNCARE |
| Tennessee | Other | 3402061 | PHP TENNCARE |
| Tennessee | Other | 621385292 | PHP TENNCARE |
| Tennessee | Other | 702044421 | PHP TENNCARE |
| Tennessee | Other | 3075999 | PHP TENNCARE |
| Tennessee | Other | 702010734 | PHP TENNCARE |
| Tennessee | Other | 3402061 | PHP TENNCARE |
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