Fisher, Jennifer E

Fisher, Jennifer E is an individual health care provider with primary practice located at 2700 River City Park Rd , Jeffersonville IN 47130-5989. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fisher, Jennifer E can be contacted via phone (812) 282-1888.

Contact Information

Primary practice address
2700 River City Park Rd Jeffersonville IN 47130-5989
Phone: (812) 282-1888
Fax: (812) 285-8392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 34003596 Indiana

Profile Details

NPI number 1639175771
LBN Legal business name Fisher, Jennifer E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 24th, 2007 - about 18 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 1639175771 NPPES
Indiana MEDICAID 8200069600

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