Provider Demographics
NPI:1851324735
Name:FISHER, CLIFFORD JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:JOSEPH
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 1:9476 DOUBLE R BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-2959
Mailing Address - Country:US
Mailing Address - Phone:775-424-2009
Mailing Address - Fax:775-337-2395
Practice Address - Street 1:9476 DOUBLE R BLVD
Practice Address - Street 2:STE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-2959
Practice Address - Country:US
Practice Address - Phone:775-337-0184
Practice Address - Fax:775-337-2395
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4616111N00000X
NVB-808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV37600Medicare PIN
NVU79282Medicare UPIN