Fitleberg, Bonnie
Fitleberg, Bonnie is an individual health care provider with primary practice located at 3430 Worthington Blvd Suite 103, Frederick MD 21704-7017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitleberg, Bonnie can be contacted via phone (240) 215-6900.Contact Information
Primary practice address
3430 Worthington Blvd Suite 103
Frederick MD 21704-7017
Phone: (240) 215-6900
Fax: (240) 436-6300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0065201 | Maryland |
Profile Details
| NPI number | 1568436426 |
|---|---|
| LBN Legal business name | Fitleberg, Bonnie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Aug 2nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568436426 | NPPES |
| Maryland | MEDICAID | 926580509 | |
| Maryland | MEDICAID | 926580505 |
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