Fitzgerald, Carol

Fitzgerald, Carol is an individual health care provider with primary practice located at 1155 N Mayfair Rd Spine Care Clinic At Plank Road, Milwaukee WI 53226-3421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fitzgerald, Carol can be contacted via phone (414) 955-7199.

Contact Information

Primary practice address
1155 N Mayfair Rd Spine Care Clinic At Plank Road Milwaukee WI 53226-3421
Phone: (414) 955-7199
Fax: (414) 955-0110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1273-026 Wisconsin

Profile Details

NPI number 1760434336
LBN Legal business name Fitzgerald, Carol
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 4th, 2012 - about 14 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 1760434336 NPPES
Other 007806261B HUMANA
MEDICAID 40653600 HUMANA

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