Fish, Stephen M

Fish, Stephen M is an individual health care provider with primary practice located at 404 Main Ave S , North Bend WA 98045-8215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fish, Stephen M can be contacted via phone (425) 888-5511.

Contact Information

Primary practice address
404 Main Ave S North Bend WA 98045-8215
Phone: (425) 888-5511
Fax: (425) 888-5513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00024257 Washington

Profile Details

NPI number 1366493959
LBN Legal business name Fish, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 27th, 2010 - about 15 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 1366493959 NPPES
Washington Other 8TA009 TRAILBLAZER MEDICARE FIRST LOCATION
Washington MEDICAID 1042852 TRAILBLAZER MEDICARE FIRST LOCATION
Washington Other 8TA098 TRAILBLAZER MEDICARE FIRST LOCATION

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