Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | C10005347 | DE |
NPI | 1073518056 |
---|---|
Provider Name | Dr. J Rush Fisher JR. |
First Address | Newark, DE 19713-8000 |
Second Address | Newark, DE 19713-8000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 24/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0512017000 | AMERIHEALTH/KEYSTONE (01) | DE |
1000034633 | (05) | DE |
200040677 | RAILROAD MEDICARE (01) | DE |
2291465 | AETNA HMO (01) | DE |
2613 | MID-ATLANTIC (01) | DE |
373895 | INDEPENDENCE BC/PC (01) | DE |
510399378 | BCBS (01) | DE |
5579793001 | CIGNA (01) | DE |
5665641 | AETNA PPO (01) | DE |
G37821 | (02) | DE |
G37821 | COVENTRY (01) | DE |