Healthcare Provider Details

I. General information

NPI: 1376573956
Provider Name (Legal Business Name): ALAN JEFFREY FISCHEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 JANES RD
ARCATA CA
95521-4742
US

IV. Provider business mailing address

PO BOX 6426
EUREKA CA
95502-6426
US

V. Phone/Fax

Practice location:
  • Phone: 707-822-7220
  • Fax: 707-826-8258
Mailing address:
  • Phone: 707-269-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG83137
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberG19488
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD215070
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: