Provider Demographics
NPI:1689814568
Name:FISHER, ERIC A (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:FISHER
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 1:2502 SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-4606
Mailing Address - Country:US
Mailing Address - Phone:410-235-2225
Mailing Address - Fax:410-235-2227
Practice Address - Street 1:2502 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4606
Practice Address - Country:US
Practice Address - Phone:410-235-2225
Practice Address - Fax:410-235-2227
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor