Fitzgerald, Jason Troy

Fitzgerald, Jason Troy is an individual health care provider with primary practice located at 12750 St Francis Dr Ste 320 , Crown Point IN 46307-0264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Fitzgerald, Jason Troy can be contacted via phone (219) 662-0077.

Contact Information

Primary practice address
12750 St Francis Dr Ste 320 Crown Point IN 46307-0264
Phone: (219) 662-0077
Fax: (219) 662-9496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01076416A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 11738 Montana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X DR.0056684 Colorado
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01076416A Indiana

Profile Details

NPI number 1851372346
LBN Legal business name Fitzgerald, Jason Troy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jan 15th, 2024 - about last year

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 1851372346 NPPES
Indiana MEDICAID 201347360

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