Fitzgerald, Jacqueline Morgan
Fitzgerald, Jacqueline Morgan is an individual health care provider with primary practice located at 1625 Straits Tpke Ste 303 , Middlebury CT 06762-1836. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fitzgerald, Jacqueline Morgan can be contacted via phone (203) 598-0400.Contact Information
Primary practice address
1625 Straits Tpke Ste 303
Middlebury CT 06762-1836
Phone: (203) 598-0400
Fax: (203) 598-0852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12761 | Connecticut |
Profile Details
| NPI number | 1417561432 |
|---|---|
| LBN Legal business name | Fitzgerald, Jacqueline Morgan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2020 |
| Last updated | Mar 13th, 2024 - about 9 months 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 | 1417561432 | NPPES |
| Connecticut | MEDICAID | 00490381 |
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