Fitzgerald, Joanne

Fitzgerald, Joanne is an individual health care provider with primary practice located at 1000 N 92Nd St , Wauwatosa WI 53226-3533. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fitzgerald, Joanne can be contacted via phone (414) 479-9487.

Contact Information

Primary practice address
1000 N 92Nd St Wauwatosa WI 53226-3533
Phone: (414) 479-9487
Fax: (414) 259-0575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1931-024 Wisconsin

Profile Details

NPI number 1073699633
LBN Legal business name Fitzgerald, Joanne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1073699633 NPPES
Wisconsin MEDICAID 41806800

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