Fisher, Jason
Fisher, Jason is an sole proprietor health care provider with primary practice located at 1101 S 28Th Ave Ste C , Hattiesburg MS 39402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisher, Jason can be contacted via phone (601) 261-1670.Contact Information
Primary practice address
1101 S 28Th Ave Ste C
Hattiesburg MS 39402
Phone: (601) 261-1670
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24934 | Mississippi |
Profile Details
| NPI number | 1760877948 |
|---|---|
| LBN Legal business name | Fisher, Jason |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2015 |
| Last updated | Aug 11th, 2020 - about 6 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 | 1760877948 | NPPES |
| Mississippi | MEDICAID | 06605510 |
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