Fiske, Dwight

Fiske, Dwight is an individual health care provider with primary practice located at 200 Hemlock St , Tawas City MI 48763-9237. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fiske, Dwight can be contacted via phone (989) 362-3411.

Contact Information

Primary practice address
200 Hemlock St Tawas City MI 48763-9237
Phone: (989) 362-3411
Fax: (989) 362-9925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003088 Michigan

Profile Details

NPI number 1669499133
LBN Legal business name Fiske, Dwight
Credentials PA-C, RN, AEMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 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 1669499133 NPPES
Georgia MEDICAID 542502590A
Georgia Other 01147225
Georgia MEDICAID 542502590B

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