Fisher, John

Fisher, John is an sole proprietor health care provider with primary practice located at 1010 S Main St , Jonesboro AR 72401-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisher, John can be contacted via phone (870) 932-1820.

Contact Information

Primary practice address
1010 S Main St Jonesboro AR 72401-3503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-12114 Arkansas

Profile Details

NPI number 1720513401
LBN Legal business name Fisher, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2017
Last updated Aug 18th, 2021 - about 5 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 1720513401 NPPES
Arkansas MEDICAID 271039001

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