Fisher, Graeme Donald
Fisher, Graeme Donald is an individual health care provider with primary practice located at 4117 Veterans Memorial Drive , Mount Vernon IL 62864. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Fisher, Graeme Donald can be contacted via phone (618) 241-7016.Contact Information
Primary practice address
4117 Veterans Memorial Drive
Mount Vernon IL 62864
Phone: (618) 241-7016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 152515 | Massachusetts |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | Illinois |
Profile Details
| NPI number | 1659362929 |
|---|---|
| LBN Legal business name | Fisher, Graeme Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 8th, 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 | 1659362929 | NPPES |
| Massachusetts | MEDICAID | 3162044 |
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