Provider Demographics
NPI:1295200319
Name:FISCHER, BETH MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:MARIE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S POSEY COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-9620
Mailing Address - Country:US
Mailing Address - Phone:812-598-4858
Mailing Address - Fax:
Practice Address - Street 1:1527 COLLEGE DR.
Practice Address - Street 2:
Practice Address - City:MT. CARMEL
Practice Address - State:IL
Practice Address - Zip Code:62863
Practice Address - Country:US
Practice Address - Phone:618-263-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant