Fisher, Trevor
Fisher, Trevor is an individual health care provider with primary practice located at 1046 W 6Th Avenue Emergency Department, Albany OR 97321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fisher, Trevor can be contacted via phone (503) 926-2244.Contact Information
Primary practice address
1046 W 6Th Avenue Emergency Department
Albany OR 97321
Phone: (503) 926-2244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00038675 | Oregon |
Profile Details
| NPI number | 1336101567 |
|---|---|
| LBN Legal business name | Fisher, Trevor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Mar 5th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336101567 | NPPES |
| Oregon | MEDICAID | 134057 | |
| Oregon | Other | 8941026 | |
| Oregon | MEDICAID | 8252892 | |
| Oregon | Other | 0211929 |
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