Fitzer, Matthew A

Fitzer, Matthew A is an sole proprietor health care provider with primary practice located at 1850A Town Center Pkwy Suite 301, Reston VA 20190-5851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fitzer, Matthew A can be contacted via phone (703) 709-9701.

Contact Information

Primary practice address
1850A Town Center Pkwy Suite 301 Reston VA 20190-5851
Phone: (703) 709-9701
Fax: (703) 709-8084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2005010623 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101250534 Virginia

Profile Details

NPI number 1366489098
LBN Legal business name Fitzer, Matthew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated May 3rd, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366489098 NPPES
Missouri MEDICAID 207411307

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