Provider Demographics
NPI:1811518640
Name:FISHER, JAIME A
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:A
Last Name:FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15131 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-9014
Mailing Address - Country:US
Mailing Address - Phone:440-478-6228
Mailing Address - Fax:
Practice Address - Street 1:14999 LENNY DR
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9466
Practice Address - Country:US
Practice Address - Phone:440-478-6228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay