Ethan Scott Fisher, LAC is a
Acupuncturist based in Pocatello, Idaho. Ethan Scott Fisher is licensed to practice in Idaho (license number ACU-180) and his current practice location is
1448 E Center St, Suite D, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 232-2986.
NPI number for Ethan Scott Fisher is 1447426945 and his current mailing address is 1448 E Center St, Suite D, Pocatello, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447426945.
Healthcare Provider's Profile
| Full Name | Ethan Scott Fisher |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 1448 E Center St, Pocatello, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447426945
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 05/05/2008
Medical Identifiers
Medical identifiers for Ethan Scott Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447426945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | ACU-180 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Scott Fisher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethan Scott Fisher, LAC
1448 E Center St, Suite D,
Pocatello, ID 83201-4132
Ph: (208) 232-2986 | Ethan Scott Fisher, LAC
1448 E Center St, Suite D,
Pocatello, ID 83201-4132
Ph: (208) 232-2986 |
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