Fitzgerald, David Michael

Fitzgerald, David Michael is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Fitzgerald, David Michael can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 38334 North Carolina
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 38334 North Carolina

Profile Details

NPI number 1437134475
LBN Legal business name Fitzgerald, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437134475 NPPES
Other 4466301 AETNA
MEDICAID 6000436000 AETNA
Other 32262 AETNA
Other 34492 AETNA
MEDICAID 6034161 AETNA
Other 2960 AETNA
MEDICAID 8932262 AETNA
MEDICAID 383343 AETNA

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