Fishman, Ross H

Fishman, Ross H is an sole proprietor health care provider with primary practice located at 425 W Town Pl Ste 106 , St Augustine FL 32092-3662. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fishman, Ross H can be contacted via phone (904) 940-7990.

Contact Information

Primary practice address
425 W Town Pl Ste 106 St Augustine FL 32092-3662
Phone: (904) 940-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16716 Florida

Profile Details

NPI number 1366417594
LBN Legal business name Fishman, Ross H
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Mar 17th, 2011 - about 15 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 1366417594 NPPES
Florida MEDICAID 075770500

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