Fishman, Gerald A

Fishman, Gerald A is an individual health care provider with primary practice located at 1526 Lake Murray Blvd , Columbia SC 29212-8622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fishman, Gerald A can be contacted via phone (803) 749-1155.

Contact Information

Primary practice address
1526 Lake Murray Blvd Columbia SC 29212-8622
Phone: (803) 749-1155
Fax: (803) 791-2203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 8885 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8885 South Carolina

Profile Details

NPI number 1508873019
LBN Legal business name Fishman, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 12th, 2022 - about 4 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 1508873019 NPPES
South Carolina MEDICAID 088853

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