Fitzgerald, Jeffrey Michael

Fitzgerald, Jeffrey Michael is an individual health care provider with primary practice located at 801 Willow Hwy , Grand Ledge MI 48837-2009. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fitzgerald, Jeffrey Michael can be contacted via phone (517) 627-5384.

Contact Information

Primary practice address
801 Willow Hwy Grand Ledge MI 48837-2009
Phone: (517) 627-5384
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302028015 Michigan

Profile Details

NPI number 1518348325
LBN Legal business name Fitzgerald, Jeffrey Michael
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Jun 17th, 2015 - about 9 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 1518348325 NPPES
Michigan MEDICAID 183500000X

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