Fisher, Charles Brandon

Fisher, Charles Brandon is an individual health care provider with primary practice located at 501 20Th St Ste 503 , Knoxville TN 37916-1832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Fisher, Charles Brandon can be contacted via phone (865) 331-4321.

Contact Information

Primary practice address
501 20Th St Ste 503 Knoxville TN 37916-1832
Phone: (865) 331-4321
Fax: (865) 331-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 3621 Tennessee

Profile Details

NPI number 1972995603
LBN Legal business name Fisher, Charles Brandon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2015
Last updated Feb 11th, 2019 - about 7 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 1972995603 NPPES
Tennessee MEDICAID Q046549

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