MEDICARE: DR. PAUL JOSEF FISCHER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B00465	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B00465	OTHER	NV	STATE OF NEVADA

General Provider Information

NPI Number	:	1073668133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL JOSEF FISCHER DC

Provider Business Mailing Address
First Line	:	PO BOX 3404
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89702-3404
Country	:	US
Telephone Number	:	775-882-5800
Fax Number	:	775-882-5884

Provider Business Practice Location Address
First Line	:	805 N DIVISION ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3925
Country	:	US
Telephone Number	:	775-882-5800
Fax Number	:	775-882-5884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	10/21/2011

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