Fitzgerald, Jane M

Fitzgerald, Jane M is an sole proprietor health care provider with primary practice located at 3170 E Tremont Ave , Bronx NY 10461-5766. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Fitzgerald, Jane M can be contacted via phone (718) 824-2002.

Contact Information

Primary practice address
3170 E Tremont Ave Bronx NY 10461-5766
Phone: (718) 824-2002
Fax: (718) 824-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X X006268-1 New York

Profile Details

NPI number 1356423081
LBN Legal business name Fitzgerald, Jane M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Sep 20th, 2018 - about 6 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 1356423081 NPPES
New York Other 104000500 FEDERAL WORKERS COMP
New York Other 0882368 FEDERAL WORKERS COMP
New York Other 5801629 FEDERAL WORKERS COMP
New York Other C06268-9 FEDERAL WORKERS COMP
New York Other P414930 FEDERAL WORKERS COMP
New York MEDICAID 01871934 FEDERAL WORKERS COMP

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