Provider Demographics
NPI:1184363681
Name:JS FISHER COMPANY LLC
Entity type:Organization
Organization Name:JS FISHER COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:I
Authorized Official - Credentials:CNLP, PTT, CHT
Authorized Official - Phone:314-944-0690
Mailing Address - Street 1:4428 BEGG BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-3109
Mailing Address - Country:US
Mailing Address - Phone:314-944-0690
Mailing Address - Fax:
Practice Address - Street 1:4428 BEGG BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-3109
Practice Address - Country:US
Practice Address - Phone:314-944-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare