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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH FISHER M.D.

MEDICARE: JENNIFER ELIZABETH FISHER M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program11013748AIN
22085R0001XRadiation Oncology Physician01069241AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01048957OTHERINRAILROAD MEDICARE
3P01291679OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194982512
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH FISHER M.D.
Provider Business Mailing Address
First Line : 6626 E 75TH ST
Second Line : SUITE 500
City : INDIANAPOLIS
State : IN
Zip : 46250-2805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1340 N. MADISON
Second Line :
City : ANDERSON
State : IN
Zip : 46011-1216
Country : US
Telephone Number : 765-622-7600
Fax Number : 317-622-7676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2008
Last Update Date : 11/27/2023

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