Individual
DR. CHARLES KENNETH FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 ST. MARY'S DRIVE, SUITE 504, EVANSVILLE, IN 47714
(812) 479-8222
(812) 479-9501
Mailing address
801 ST. MARY'S DRIVE, SUITE 504, EVANSVILLE, IN 47714
(812) 479-8222
(812) 479-9501
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01024567A
IN
207W00000X
Ophthalmology Physician
011329
GA
207W00000X
Ophthalmology Physician
R4071
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042313
ANTHEM BC
IN
01
—
126828
HEALTHLINK
IN
01
—
131381
CSHCS
IN
Enumeration date
10/23/2006
Last updated
07/08/2007
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