Fitzgerald, Nicole Anne
Fitzgerald, Nicole Anne is an sole proprietor health care provider with primary practice located at 4520 Douglas Ave , Des Moines IA 50310-2710. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fitzgerald, Nicole Anne can be contacted via phone (515) 276-2263.Contact Information
Primary practice address
4520 Douglas Ave
Des Moines IA 50310-2710
Phone: (515) 276-2263
Fax: (515) 251-2969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06770 | Iowa |
Profile Details
| NPI number | 1942322565 |
|---|---|
| LBN Legal business name | Fitzgerald, Nicole Anne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942322565 | NPPES |
| Iowa | MEDICAID | 0466979 | |
| Iowa | Other | 38636 |
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