Fishman, Robert A
Fishman, Robert A is an individual health care provider with primary practice located at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores MI 48081-1116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Fishman, Robert A can be contacted via phone (586) 779-7610.Contact Information
Primary practice address
21000 E 12 Mile Rd Suite 111
Saint Clair Shores MI 48081-1116
Phone: (586) 779-7610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | RF041043 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | RF041043 | Michigan |
Profile Details
| NPI number | 1881786341 |
|---|---|
| LBN Legal business name | Fishman, Robert A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 22nd, 2019 - about 7 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 | 1881786341 | NPPES |
| Michigan | Other | 040E06192 | BLUE SHIELD GROUP |
| Michigan | Other | 0500323 | BLUE SHIELD GROUP |
| Michigan | Other | 2326702002 | BLUE SHIELD GROUP |
| Michigan | MEDICAID | 1433910 | BLUE SHIELD GROUP |
| Michigan | Other | 44033233 | BLUE SHIELD GROUP |
| Michigan | Other | 040008563 | BLUE SHIELD GROUP |
| Michigan | Other | C5083 | BLUE SHIELD GROUP |
| Michigan | Other | 101764 | BLUE SHIELD GROUP |
| Michigan | Other | 103994 | BLUE SHIELD GROUP |
| Michigan | Other | D91373 | BLUE SHIELD GROUP |
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