Bryon Eugene Fisher in Warsaw - Addiction (substance Use Disorder)

Bryon Eugene Fisher - NPI 1881881084

Bryon Eugene Fisher is a Addiction (substance Use Disorder) in Warsaw, New York. Bryon Eugene Fisher practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bryon Eugene Fisher is 1881881084. The last update date is 2007-10-02.

Bryon Eugene Fisher's current location address is 422 N Main St, Warsaw, New York. You can contact this provider via phone number 5857868133 and fax number 5857869928. The mailing address for Bryon Eugene Fisher is 422 N Main St, Warsaw, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryon Eugene Fisher
Address 422 N Main St, Warsaw, New York
Phone Number 5857868133
Fax Number 5857869928
Sole Proprietor N
Credentials BA, CASAC

NPI Number Detail

NPI Number 1881881084
Provider Enumeration Date 2007-10-02
Last Updated Date 2007-10-02

Provider Mailing Address Detail

Address 422 N Main St
City Warsaw
State New York (NY)
Post Code 145691023
Phone Number 5857868133
Fax Number 5857869928

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 13148
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
740423 NY --

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FAQs about Bryon Eugene Fisher

What is the Bryon Eugene Fisher's unique identification number?

The Bryon Eugene Fisher has been assigned the NPI (National Provider Identifier) Number 1881881084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Bryon Eugene Fisher is physically located?

The Bryon Eugene Fisher is situated at the following address: 422 N Main St, Warsaw, NY 145691023.

What is the Bryon Eugene Fisher's specialty and taxonomy code?

The Bryon Eugene Fisher's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Bryon Eugene Fisher receive its 1881881084 assignment from the Centers for Medicare & Medicaid Services?

The Bryon Eugene Fisher was assigned its 1881881084 by the Centers for Medicare & Medicaid Services on 2007-10-02.

When was the information pertaining to Bryon Eugene Fisher most recently updated or revised?

The details related to Bryon Eugene Fisher, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-02.

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