Provider Demographics
NPI:1841259546
Name:FISH, JASON C (MAC, ATC)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:C
Last Name:FISH
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Gender:M
Credentials:MAC, ATC
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Mailing Address - Street 1:4093 DIAMOND RUBY
Mailing Address - Street 2:PMB 498
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4424
Mailing Address - Country:US
Mailing Address - Phone:340-778-8888
Mailing Address - Fax:340-692-5651
Practice Address - Street 1:CARIBBEAN HEALTH AND FITNESS COMPLEX
Practice Address - Street 2:23 ESTATE BEESTON HILL
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-778-8888
Practice Address - Fax:340-692-5651
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer