Fisher, Carl Ellis

Fisher, Carl Ellis is an individual health care provider with primary practice located at 2544 Court Dr Suite C, Gastonia NC 28054-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fisher, Carl Ellis can be contacted via phone (704) 867-5356.

Contact Information

Primary practice address
2544 Court Dr Suite C Gastonia NC 28054-3450
Phone: (704) 867-5356
Fax: (704) 867-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00-16359 North Carolina

Profile Details

NPI number 1255319638
LBN Legal business name Fisher, Carl Ellis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Nov 16th, 2016 - about 10 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 1255319638 NPPES
North Carolina MEDICAID 8932130
North Carolina MEDICAID NC2886

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