Fitzgerald, Katie Lynn
Fitzgerald, Katie Lynn is an individual health care provider with primary practice located at 1333 Taylor St Ste 6F , Columbia SC 29201-2953. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fitzgerald, Katie Lynn can be contacted via phone (803) 296-3273.Contact Information
Primary practice address
1333 Taylor St Ste 6F
Columbia SC 29201-2953
Phone: (803) 296-3273
Fax: (803) 296-7061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 23185 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 23338 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN232213 | Georgia |
Profile Details
| NPI number | 1205211430 |
|---|---|
| LBN Legal business name | Fitzgerald, Katie Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Feb 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205211430 | NPPES |
| South Carolina | MEDICAID | NP6417 |
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