Doctor Name: | JEFFREY ROBERT FISHER |
NPI Number: | 1093742140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 50-000284 |
Business Practice Address: | 3823 Trueman Court American Health Network Hilliard, OH - 430262496 |
Business Phone Number: | 6148769558 |
Business Fax Number: | |
Mailing Address: | 3823 Trueman Ct, American Health Network HILLIARD |
State: | OH |
Postal Code: | 430262496 |
Phone Number: | 6148769558 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 50-000284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |