Fitzer, Stanley W
Fitzer, Stanley W is an individual health care provider with primary practice located at 200 W Magnolia Ave Suite 102, Fort Worth TX 76104-7644. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Fitzer, Stanley W can be contacted via phone (817) 665-1323.Contact Information
Primary practice address
200 W Magnolia Ave Suite 102
Fort Worth TX 76104-7644
Phone: (817) 665-1323
Fax: (817) 871-9074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 0013611 | Texas |
Profile Details
| NPI number | 1598794133 |
|---|---|
| LBN Legal business name | Fitzer, Stanley W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1598794133 | NPPES |
| Texas | Other | 0013611 | DDS LICENSE |
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