Fisher, David R
Fisher, David R is an individual health care provider with primary practice located at 17000 W North Ave Suite 200E, Brookfield WI 53005-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fisher, David R can be contacted via phone (262) 782-4270.Contact Information
Primary practice address
17000 W North Ave Suite 200E
Brookfield WI 53005-4423
Phone: (262) 782-4270
Fax: (262) 784-9319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25584 | Wisconsin |
Profile Details
| NPI number | 1902873995 |
|---|---|
| LBN Legal business name | Fisher, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Dec 13th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902873995 | NPPES |
| Wisconsin | MEDICAID | 30524500 |
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