Fischer, Staci Ann

Fischer, Staci Ann is an individual health care provider with primary practice located at 593 Eddy Street Apc921, Providence RI 02903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fischer, Staci Ann can be contacted via phone (401) 444-8450.

Contact Information

Primary practice address
593 Eddy Street Apc921 Providence RI 02903
Phone: (401) 444-8450
Fax: (401) 444-5088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD10461 Rhode Island
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 05-0450410 Rhode Island

Profile Details

NPI number 1609821404
LBN Legal business name Fischer, Staci Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 19th, 2013 - about 13 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 1609821404 NPPES
Massachusetts MEDICAID 5289098
Massachusetts MEDICAID 9022995

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