Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | I-0003458 | OH |
NPI | 1003855230 |
---|---|
Provider Name | Edward Fischer |
First Address | Cincinnati, OH 45263-0001 |
Second Address | Cincinnati, OH 45229-3091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 24/06/2010 |