CHAD EVERETT FISHER NPI 1770620353

NPI Information

NPI: 1770620353
Provider Name: CHAD EVERETT FISHER
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
503 CONSTITUTION DR
IUKA, MS
ZIP 38852
Phone: (662) 424-9500
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Chad Everett Fisher is a specialist in Iuka, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Chad Everett Fisher NPI is 1770620353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

503 CONSTITUTION DR
IUKA, MS
ZIP 38852-201
Phone: (662) 424-9500
Fax: (662) 424-9592

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		PTA3444	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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