Fischer, Jerry L
Fischer, Jerry L is an individual health care provider with primary practice located at 2665 Douglas St , Omaha NE 68131-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fischer, Jerry L can be contacted via phone (402) 341-7761.Contact Information
Primary practice address
2665 Douglas St
Omaha NE 68131-2626
Phone: (402) 341-7761
Fax: (402) 341-4841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 13846 | Nebraska |
Profile Details
| NPI number | 1376654780 |
|---|---|
| LBN Legal business name | Fischer, Jerry L |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 10th, 2019 - about 7 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 | 1376654780 | NPPES |
| Iowa | MEDICAID | 2930982 | |
| Iowa | Other | 53577 | |
| Iowa | MEDICAID | 470781645 | |
| Iowa | Other | 30966 | |
| Iowa | Other | 470781645 | |
| Iowa | Other | 461 | |
| Iowa | Other | P00673790 |
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