Fitzgerald, Judd R

Fitzgerald, Judd R is an individual health care provider with primary practice located at 6703 W Rio Grande Ave , Kennewick WA 99336-2623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fitzgerald, Judd R can be contacted via phone (509) 460-5588.

Contact Information

Primary practice address
6703 W Rio Grande Ave Kennewick WA 99336-2623
Phone: (509) 460-5588
Fax: (509) 783-5438
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60734111 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD60734111 Washington

Profile Details

NPI number 1205125945
LBN Legal business name Fitzgerald, Judd R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Jul 16th, 2019 - 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 1205125945 NPPES
Washington MEDICAID 2077644

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