Fisher, Douglas

Fisher, Douglas is an individual health care provider with primary practice located at 117 Hampton Rd , Southampton NY 11968-4923. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fisher, Douglas can be contacted via phone (631) 287-8600.

Contact Information

Primary practice address
117 Hampton Rd Southampton NY 11968-4923
Phone: (631) 287-8600
Fax: (631) 204-1585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00256 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 23-013281 New York

Profile Details

NPI number 1245235761
LBN Legal business name Fisher, Douglas
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245235761 NPPES
Rhode Island Other 30584 BLUE SHIELD

Popular Providers