Fitzgerald, Kathleen M
Fitzgerald, Kathleen M is an individual health care provider with primary practice located at 330 S Garden Way Suite 270, Eugene OR 97401-8176. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Fitzgerald, Kathleen M can be contacted via phone (541) 228-3400.Contact Information
Primary practice address
330 S Garden Way Suite 270
Eugene OR 97401-8176
Phone: (541) 228-3400
Fax: (541) 284-2937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD17475 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD17475 | Oregon |
Profile Details
| NPI number | 1215999321 |
|---|---|
| LBN Legal business name | Fitzgerald, Kathleen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Nov 17th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215999321 | NPPES |
| Oregon | Other | P00429041 | RAILROAD MEDICARE |
| Oregon | Other | 2329 | RAILROAD MEDICARE |
| Oregon | MEDICAID | 033345 | RAILROAD MEDICARE |
| Oregon | Other | 085564000 | RAILROAD MEDICARE |
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