Provider Demographics
NPI:1609572692
Name:FISHER INTEGRATED CARE
Entity type:Organization
Organization Name:FISHER INTEGRATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-478-6228
Mailing Address - Street 1:15131 TIMBER RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062
Mailing Address - Country:US
Mailing Address - Phone:440-478-6228
Mailing Address - Fax:
Practice Address - Street 1:14999 LENNY AVENUE
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062
Practice Address - Country:US
Practice Address - Phone:440-478-6228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty