Fitzgerald, David J
Fitzgerald, David J is an individual health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fitzgerald, David J can be contacted via phone (970) 392-2026.Contact Information
Primary practice address
1801 16Th St
Greeley CO 80631-5154
Phone: (970) 392-2026
Fax: (970) 392-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 46122 | Colorado |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 46122 | Colorado |
Profile Details
| NPI number | 1932169653 |
|---|---|
| LBN Legal business name | Fitzgerald, David J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Feb 8th, 2012 - about 12 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 | 1932169653 | NPPES |
| Kansas | MEDICAID | 100282300D | |
| Kansas | MEDICAID | 100196190B | |
| Kansas | MEDICAID | 63528258 | |
| Kansas | Other | 055790 |
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