Fitzgerald, Amanda J
Fitzgerald, Amanda J is an individual health care provider with primary practice located at 6825 S 27Th St Suite 201, Lincoln NE 68512-4872. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitzgerald, Amanda J can be contacted via phone (402) 477-4545.Contact Information
Primary practice address
6825 S 27Th St Suite 201
Lincoln NE 68512-4872
Phone: (402) 477-4545
Fax: (402) 477-4842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22915 | Nebraska |
Profile Details
| NPI number | 1407960883 |
|---|---|
| LBN Legal business name | Fitzgerald, Amanda J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Feb 6th, 2014 - about 11 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 | 1407960883 | NPPES |
| Nebraska | MEDICAID | 10025136400 |
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