Fisk, Patricia Ann

Fisk, Patricia Ann is an individual health care provider with primary practice located at 3184 Berkshire Pkwy , Clive IA 50325-2636. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fisk, Patricia Ann can be contacted via phone (515) 991-4679.

Contact Information

Primary practice address
3184 Berkshire Pkwy Clive IA 50325-2636
Phone: (515) 991-4679
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1295440691
LBN Legal business name Fisk, Patricia Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2023
Last updated Jan 19th, 2023 - about 3 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 1295440691 NPPES
Iowa MEDICAID X000718335

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