Healthcare Provider Details

I. General information

NPI: 1326641663
Provider Name (Legal Business Name): KATIE M FISCHER B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 19TH ST NW
CANTON OH
44708-2561
US

IV. Provider business mailing address

2095 WINDHAM ST NE
CANTON OH
44721-2529
US

V. Phone/Fax

Practice location:
  • Phone: 330-754-5486
  • Fax:
Mailing address:
  • Phone: 330-754-5486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number7611145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: