Aaron Thomas Fisher, | |
2214 Mishawaka Ave, South Bend, IN 46615-2141 | |
(269) 244-8700 | |
Not Available |
Full Name | Aaron Thomas Fisher |
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Gender | Male |
Speciality | Chiropractor |
Location | 2214 Mishawaka Ave, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003684127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08003131A (Indiana) | Primary |
Provider Name | Indiana Health Centers Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
Mailing Address | Practice Location Address |
---|---|
Aaron Thomas Fisher, 509 K Ln Apt 2a, Elkhart, IN 46517-3016 Ph: (269) 244-8700 | Aaron Thomas Fisher, 2214 Mishawaka Ave, South Bend, IN 46615-2141 Ph: (269) 244-8700 |
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