Fitzgerald, Brenda
Fitzgerald, Brenda is an sole proprietor health care provider with primary practice located at 2057 Pulasky Hwy. Suite 2, North East MD 21901. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fitzgerald, Brenda can be contacted via phone (410) 287-2323.Contact Information
Primary practice address
2057 Pulasky Hwy. Suite 2
North East MD 21901
Phone: (410) 287-2323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 3597 | Maryland |
Profile Details
| NPI number | 1679029243 |
|---|---|
| LBN Legal business name | Fitzgerald, Brenda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Sep 1st, 2016 - about 9 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 | 1679029243 | NPPES |
| Maryland | MEDICAID | 3579 |
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