MEDICARE: RICHARD E. FISHBEIN, MD

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	207X00000X	Orthopaedic Surgery Physician	MD013323	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1407042005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD E. FISHBEIN, MD

Provider Business Mailing Address
First Line	:	PO BOX 1200
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37088-1200
Country	:	US
Telephone Number	:	615-453-4074
Fax Number	:	615-453-4072

Provider Business Practice Location Address
First Line	:	1432 W MAIN ST
Second Line	:	SUITE 300
City	:	LEBANON
State	:	TN
Zip	:	37087-1323
Country	:	US
Telephone Number	:	615-453-4074
Fax Number	:	615-453-4072

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD E FISHBEIN
Credential	:	M.D.
Telephone Number	:	615-453-4074

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	06/09/2011

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