Fitzgerald, Holly W
Fitzgerald, Holly W is an individual health care provider with primary practice located at 213 Oxford Hills Dr , Chapel Hill NC 27514-2131. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fitzgerald, Holly W can be contacted via phone (919) 942-4778.Contact Information
Primary practice address
213 Oxford Hills Dr
Chapel Hill NC 27514-2131
Phone: (919) 942-4778
Fax: (919) 932-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | COO2252 | North Carolina |
Profile Details
| NPI number | 1083697676 |
|---|---|
| LBN Legal business name | Fitzgerald, Holly W |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1083697676 | NPPES |
| North Carolina | Other | 32276 | BCBS |
| North Carolina | MEDICAID | 6002883 | BCBS |
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