Fischer, Kenneth J

Fischer, Kenneth J is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Fischer, Kenneth J can be contacted via phone (701) 234-4171.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-4171
Fax: (701) 234-4024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 8721 North Dakota

Profile Details

NPI number 1982622528
LBN Legal business name Fischer, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 30th, 2008 - about 18 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 1982622528 NPPES
North Dakota MEDICAID 11512
North Dakota MEDICAID 844638500

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