Fischer, Timothy Lee

Fischer, Timothy Lee is an individual health care provider with primary practice located at 4692 Brownsboro Rd , Winston Salem NC 27106-3410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Fischer, Timothy Lee can be contacted via phone (336) 251-1114.

Contact Information

Primary practice address
4692 Brownsboro Rd Winston Salem NC 27106-3410
Phone: (336) 251-1114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6467 Alaska
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 348 South Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 201500226 North Carolina

Profile Details

NPI number 1003834136
LBN Legal business name Fischer, Timothy Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 13th, 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 1003834136 NPPES
South Carolina MEDICAID 003481

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