Individual
DR. JOHN EARL FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
711 MAIN ST, STEVENSVILLE, MD 21666-4011
(410) 604-0900
Mailing address
501 WYE NARROWS DR, QUEENSTOWN, MD 21658-1501
(410) 604-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01831
CHIROPRACTIC LICENSE
MD
01
—
M548
BLUE CROSS BLUE SHIELD
MD
Enumeration date
12/12/2006
Last updated
07/08/2007
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