Fisk, Scott Garza

Fisk, Scott Garza is an sole proprietor health care provider with primary practice located at 210 W Main St Fl 2 , Danville KY 40422-1812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fisk, Scott Garza can be contacted via phone (859) 236-3726.

Contact Information

Primary practice address
210 W Main St Fl 2 Danville KY 40422-1812
Phone: (859) 236-3726
Fax: (859) 236-3019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 44589 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 44589 Kentucky

Profile Details

NPI number 1780847343
LBN Legal business name Fisk, Scott Garza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated May 20th, 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 1780847343 NPPES
Kentucky MEDICAID 7100184010

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