Fitzgerald, Edward Brice

Fitzgerald, Edward Brice is an sole proprietor health care provider with primary practice located at 1616 W 116Th St , Carmel IN 46032-8857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fitzgerald, Edward Brice can be contacted via phone (317) 844-8190.

Contact Information

Primary practice address
1616 W 116Th St Carmel IN 46032-8857
Phone: (317) 844-8190
Fax: (317) 569-0123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01022613A Indiana

Profile Details

NPI number 1154456911
LBN Legal business name Fitzgerald, Edward Brice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1154456911 NPPES
Indiana Other 01022163A STATE LICENSE

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