Individual
MR. HOWARD FISHKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 287-0662
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 287-0662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02730
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000578416
BCBS PIN#
KY
05
—
200939350
—
IN
05
—
47037877928
—
NE
05
—
7100057550
—
KY
Enumeration date
05/30/2006
Last updated
11/06/2015
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