Fish, Kearsten
Fish, Kearsten is an individual health care provider with primary practice located at 350 Greenhaven Ter , Tonawanda NY 14150-5547. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fish, Kearsten can be contacted via phone (716) 213-0772.Contact Information
Primary practice address
350 Greenhaven Ter
Tonawanda NY 14150-5547
Phone: (716) 213-0772
Fax: (716) 213-0773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 039074 | New York |
Profile Details
| NPI number | 1255700795 |
|---|---|
| LBN Legal business name | Fish, Kearsten |
| Credentials | PT DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2015 |
| Last updated | Apr 14th, 2021 - about 5 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 | 1255700795 | NPPES |
| New York | MEDICAID | 04425141 |
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