Provider Demographics
NPI:1235478744
Name:DAVID P. FISHER II D.C. PLLC
Entity type:Organization
Organization Name:DAVID P. FISHER II D.C. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:570-538-5245
Mailing Address - Street 1:592 SUSQUEHANNA TRL
Mailing Address - Street 2:
Mailing Address - City:WATSONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17777-8110
Mailing Address - Country:US
Mailing Address - Phone:570-538-5245
Mailing Address - Fax:877-379-0160
Practice Address - Street 1:592 SUSQUEHANNA TRL
Practice Address - Street 2:
Practice Address - City:WATSONTOWN
Practice Address - State:PA
Practice Address - Zip Code:17777-8110
Practice Address - Country:US
Practice Address - Phone:570-538-5245
Practice Address - Fax:877-379-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004650L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty