Fisher, Michael Anthony

Fisher, Michael Anthony is an individual health care provider with primary practice located at 136 Mill St Suite 120, Gahanna OH 43230-3059. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fisher, Michael Anthony can be contacted via phone (614) 472-0092.

Contact Information

Primary practice address
136 Mill St Suite 120 Gahanna OH 43230-3059
Fax: (614) 472-0094
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3832 Ohio

Profile Details

NPI number 1720271596
LBN Legal business name Fisher, Michael Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Sep 17th, 2013 - about 13 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 1720271596 NPPES
Ohio Other 11804074 CAQH
Ohio Other 000000541536 CAQH
Ohio MEDICAID 2956225 CAQH

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