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Contact Information

TIMOTHY FISHER, DPM
4112 LARAMIE ST
CHEYENNE, WY82001-1969
 Phone: 307-514-9901
 Fax: 307-275-9880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for TIMOTHY FISHER · (Male)

NPI Number 1275623001
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/13/2006
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 113
  • WY Medicaid 121842500
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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