Provider Demographics
NPI:1073668133
Name:FISCHER, PAUL JOSEF (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEF
Last Name:FISCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3404
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-3404
Mailing Address - Country:US
Mailing Address - Phone:775-882-5800
Mailing Address - Fax:775-882-5884
Practice Address - Street 1:805 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3925
Practice Address - Country:US
Practice Address - Phone:775-882-5800
Practice Address - Fax:775-882-5884
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVB00465OtherSTATE OF NEVADA
NVB00465OtherSTATE OF NEVADA
DC465Medicare ID - Type Unspecified
NVVDC465Medicare PIN