Allen Jeremiah Fish, is a
Massage Therapist based in Riverside, Rhode Island. Allen Jeremiah Fish is licensed to practice in Rhode Island (license number MT02300) and his current practice location is
250 Wampanoag Trl, Riverside, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(860) 455-8411.
NPI number for Allen Jeremiah Fish is 1669038345 and his current mailing address is 38 Ash St, Manville, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669038345.
Healthcare Provider's Profile
| Full Name | Allen Jeremiah Fish |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 250 Wampanoag Trl, Riverside, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669038345
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 05/17/2019
Medical Identifiers
Medical identifiers for Allen Jeremiah Fish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669038345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT02300 (Rhode Island) | 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. Allen Jeremiah Fish 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 |
|---|
Allen Jeremiah Fish,
38 Ash St,
Manville, RI 02838-1520
Ph: (860) 455-8411 | Allen Jeremiah Fish,
250 Wampanoag Trl,
Riverside, RI 02915-2218
Ph: (860) 455-8411 |
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