Fisher, W. Jud

Fisher, W. Jud is an individual health care provider with primary practice located at 821 N Nellis Blvd , Las Vegas NV 89110-5339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fisher, W. Jud can be contacted via phone (702) 438-4003.

Contact Information

Primary practice address
821 N Nellis Blvd Las Vegas NV 89110-5339
Phone: (702) 438-4003
Fax: (702) 438-0555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 475 Nevada

Profile Details

NPI number 1285659193
LBN Legal business name Fisher, W. Jud
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 26th, 2012 - about 14 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 1285659193 NPPES
Nevada Other P00853500 RAILROAD MEDICARE
Nevada MEDICAID 1285659193 RAILROAD MEDICARE

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