Fisher, Bruce R

Fisher, Bruce R is an individual health care provider with primary practice located at 2550 University Ave W Suite 435 S., Saint Paul MN 55114-1052. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fisher, Bruce R can be contacted via phone (651) 647-1900.

Contact Information

Primary practice address
2550 University Ave W Suite 435 S. Saint Paul MN 55114-1052
Phone: (651) 647-1900
Fax: (651) 647-1861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1634 Minnesota

Profile Details

NPI number 1235104084
LBN Legal business name Fisher, Bruce R
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 27th, 2014 - about 12 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 1235104084 NPPES
Minnesota MEDICAID 968557000

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