Fitzgerald, Patrick T

Fitzgerald, Patrick T is an individual health care provider with primary practice located at 21700 Intertech Dr , Brookfield WI 53045-5197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fitzgerald, Patrick T can be contacted via phone (262) 532-8300.

Contact Information

Primary practice address
21700 Intertech Dr Brookfield WI 53045-5197
Fax: (262) 532-8600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48412 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48412 Wisconsin

Profile Details

NPI number 1326010026
LBN Legal business name Fitzgerald, Patrick T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 10th, 2019 - about 5 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 1326010026 NPPES
Wisconsin MEDICAID 34676400

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