Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1936 | AL |
NPI | 1003972993 |
---|---|
Provider Name | Dr. Donna Lynn Fisher |
First Address | Tuscaloosa, AL 35401-3300 |
Second Address | Tuscaloosa, AL 35401-3300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 16/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U80395 | (02) |