Ethan W Fisher, ATC, LAT
Specialist/Technologist, Athletic Trainer in North Attleboro, Massachusetts
1013494079- Practice location
- 44 Eddy St, North Attleboro, MA 02760-2240
- Phone
- 508-212-4962
- Fax
- —
- Last updated
- July 23, 2018
Ethan William Kennedy Fisher is a Specialist/Technologist, Athletic Trainer based in North Attleboro, MA. Ethan William Kennedy Fisher practices in North Attleboro, MA and has the professional credentials of ATC, LAT. The NPI Number for Ethan William Kennedy Fisher is 1013494079 and holds a License No. 3093 (MA). The current practice location address for Ethan William Kennedy Fisher is 44 Eddy St, North Attleboro, MA 02760-2240 and can be reached out via phone at 508-212-4962.
Provider Profile Details
- NPI Number
- 1013494079
- Provider Name
- Ethan William Kennedy Fisher
- Credential
- ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 44 Eddy St, North Attleboro, MA 02760-2240
- Phone Number
- 508-212-4962
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 23, 2018
- Last Update Date
- July 23, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Eddy St
North Attleboro, MA 02760-2240 - City
- North Attleboro
- State
- Massachusetts
- Zip
- 02760-2240
- Phone Number
- 508-212-4962
Provider Business Mailing Address Details
- Address
- 44 Eddy St
North Attleboro, MA 02760-2240 - City
- North Attleboro
- State
- MA
- Zip
- 02760-2240
- Phone Number
- 508-212-4962
License Information
- License Number
- 3093
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ethan W Fisher, ATC, LAT?
The NPI number of Ethan W Fisher, ATC, LAT is 1013494079. It was assigned on July 23, 2018 and is currently active in the NPPES registry.
What is the specialty of Ethan W Fisher, ATC, LAT?
Ethan W Fisher, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3093.
Where does Ethan W Fisher, ATC, LAT practice?
The practice location is 44 Eddy St, North Attleboro, MA 02760-2240. The office can be reached at 508-212-4962 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013494079 directly on the NPPES registry website.