Fitzgerald, Gary A

Fitzgerald, Gary A is an individual health care provider with primary practice located at 1530 N 7Th St Suite 104, Terre Haute IN 47807-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fitzgerald, Gary A can be contacted via phone (812) 234-1344.

Contact Information

Primary practice address
1530 N 7Th St Suite 104 Terre Haute IN 47807-1057
Phone: (812) 234-1344
Fax: (812) 232-9480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01029815 Indiana

Profile Details

NPI number 1467443838
LBN Legal business name Fitzgerald, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 18th, 2010 - 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 1467443838 NPPES
Indiana MEDICAID 100252930
Indiana Other 080049937

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