Fitzgerald, Melissa W

Fitzgerald, Melissa W is an sole proprietor health care provider with primary practice located at 446 Northridge Cir , Evans GA 30809-4542. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fitzgerald, Melissa W can be contacted via phone (706) 210-0282.

Contact Information

Primary practice address
446 Northridge Cir Evans GA 30809-4542
Phone: (706) 210-0282
Fax: (706) 210-0282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 003030 Georgia

Profile Details

NPI number 1205998069
LBN Legal business name Fitzgerald, Melissa W
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1205998069 NPPES
Georgia MEDICAID 00845193C

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