Provider Demographics
NPI:1760797633
Name:PFISTER, ANTHONY JAMES (DC, APRN, RN)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JAMES
Last Name:PFISTER
Suffix:
Gender:M
Credentials:DC, APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19543 IDLEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-3133
Mailing Address - Country:US
Mailing Address - Phone:239-398-5380
Mailing Address - Fax:
Practice Address - Street 1:708 E SMITH RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2662
Practice Address - Country:US
Practice Address - Phone:330-725-5277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11318111N00000X
OHDC-05171111N00000X
FL11011987363LF0000X
OHAPRNCNP0031210363LF0000X
IN08003325111N00000X
FLCH-12958111N00000X
OHRN.506237163W00000X
FL9362470163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse