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Contact Information

MARY J FISK, LMC
750 LOGAN ST
LOUISVILLE, KY40204-1852
 Phone: 502-632-1427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARY J FISK · (Female)

NPI Number 1174800601
Status Active
Credentials LMC
Entity Individual
Enumeration date 11/11/2011
Last updated 11/11/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # KY4215
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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