Fisher, Carla Anna

Fisher, Carla Anna is an individual health care provider with primary practice located at 165 Lynch Creek Way , Petaluma CA 94954-2343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fisher, Carla Anna can be contacted via phone (707) 762-5531.

Contact Information

Primary practice address
165 Lynch Creek Way Petaluma CA 94954-2343
Phone: (707) 762-5531
Fax: (707) 762-5976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G63183 California

Profile Details

NPI number 1215934096
LBN Legal business name Fisher, Carla Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 20th, 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 1215934096 NPPES
California Other G63183 LICENSE NUMBER
California Other 070016604 LICENSE NUMBER

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