Fishfader, Vicki
Fishfader, Vicki is an individual health care provider with primary practice located at 912 32Nd St Suite A, Anacortes WA 98221-3473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fishfader, Vicki can be contacted via phone (360) 293-4343.Contact Information
Primary practice address
912 32Nd St Suite A
Anacortes WA 98221-3473
Phone: (360) 293-4343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | PA10003946 | Washington |
Profile Details
| NPI number | 1912002262 |
|---|---|
| LBN Legal business name | Fishfader, Vicki |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912002262 | NPPES |
| Washington | Other | 191614 | WORKMANS COMP |
| Washington | Other | 6927FI | WORKMANS COMP |
| Washington | Other | 3852FI | WORKMANS COMP |
| Washington | MEDICAID | 8345647 | WORKMANS COMP |
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