Provider Demographics
NPI:1346265543
Name:FISCHER, ROSANNE M (RN, DC)
Entity Type:Individual
Prefix:DR
First Name:ROSANNE
Middle Name:M
Last Name:FISCHER
Suffix:
Gender:F
Credentials:RN, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 US HIGHWAY 50 W STE 200
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1948
Mailing Address - Country:US
Mailing Address - Phone:636-583-2192
Mailing Address - Fax:636-583-7707
Practice Address - Street 1:405 HIGHWAY 50 W
Practice Address - Street 2:SUITE 200
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1969
Practice Address - Country:US
Practice Address - Phone:636-583-2192
Practice Address - Fax:636-583-7707
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO990001736OtherMEDICARE PTAN
MOT-91890Medicare UPIN