Individual
JERRY L FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2665 DOUGLAS ST, OMAHA, NE 68131-2626
(402) 341-7761
(402) 341-4841
Mailing address
2665 DOUGLAS ST, OMAHA, NE 68131-2626
(402) 341-7761
(402) 341-4841
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13846
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930982
—
IA
01
—
30966
BCBS NE
—
01
—
461
MIDLANDS CHOICE
—
01
—
470781645
TRICARE
NE
05
—
470781645
—
NE
01
—
53577
BCBS IA
IA
01
—
P00673790
RAILROAD MEDICARE
IA
Enumeration date
08/31/2006
Last updated
04/10/2019
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