Fitzgerald, Anne Catherine
Fitzgerald, Anne Catherine is an sole proprietor health care provider with primary practice located at 1465 N 4Th St Ste 113 , Laramie WY 82072-2066. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzgerald, Anne Catherine can be contacted via phone (307) 399-7499.Contact Information
Primary practice address
1465 N 4Th St Ste 113
Laramie WY 82072-2066
Phone: (307) 399-7499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 308 | Wyoming |
Profile Details
| NPI number | 1154580140 |
|---|---|
| LBN Legal business name | Fitzgerald, Anne Catherine |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2008 |
| Last updated | Dec 15th, 2021 - about 4 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 | 1154580140 | NPPES |
| Wyoming | MEDICAID | 136294100 |
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