Mary June Fisk, LMC

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

KY4215 Issued in KY

Practice address

750 Logan St
Louisville, KY 40204-1852

Phone

(502) 632-1427

NPI assigned

Nov 11, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1174800601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LOGAN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041852",
            "telephone_number": "502-632-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LOGAN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041852",
            "telephone_number": "502-632-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "MARY",
        "middle_name": "JUNE",
        "credential": "LMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "KY",
            "license": "KY4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Duncan Fisher, APRN
• Robin W Fisher, LPTA
• Sarah Fisher
• Howard Fishkoff, DO
• Samuel Fishleder
• Justin Fiske, PHARMD
• Crystal Fiskratti, PHARMD, MBA
• Diane Carol Fistler, PT
• Carolyn Fitch
• Walter Fitch, PA

• Occupational Health Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Health Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.