Fitzgerald, Dennis C
Fitzgerald, Dennis C is an sole proprietor health care provider with primary practice located at 925 Chestnut St Fl 6 , Philadelphia PA 19107-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fitzgerald, Dennis C can be contacted via phone (215) 955-6760.Contact Information
Primary practice address
925 Chestnut St Fl 6
Philadelphia PA 19107-4204
Phone: (215) 955-6760
Fax: (215) 923-4532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD13305 | District of Columbia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD458598 | Pennsylvania |
Profile Details
| NPI number | 1730169798 |
|---|---|
| LBN Legal business name | Fitzgerald, Dennis C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Dec 31st, 2018 - about 7 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 | 1730169798 | NPPES |
| Pennsylvania | MEDICAID | 103124390 | |
| Pennsylvania | MEDICAID | 010772400 | |
| Pennsylvania | MEDICAID | 010155584 |
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