Fitzgerald, Amy Michelle

Fitzgerald, Amy Michelle is an individual health care provider with primary practice located at 2229 N Belt Hwy Ste A , Saint Joseph MO 64506-2481. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fitzgerald, Amy Michelle can be contacted via phone (816) 671-0500.

Contact Information

Primary practice address
2229 N Belt Hwy Ste A Saint Joseph MO 64506-2481
Phone: (816) 671-0500
Fax: (816) 671-0600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03338 Missouri

Profile Details

NPI number 1992893192
LBN Legal business name Fitzgerald, Amy Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992893192 NPPES
Other 27265055 BLUECROSSBLUESHIELD

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