Fitzgerald, Shawna Marie
Fitzgerald, Shawna Marie is an sole proprietor health care provider with primary practice located at 9004 Bridgeport Way Sw , Lakewood WA 98499-2416. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fitzgerald, Shawna Marie can be contacted via phone (253) 588-6343.Contact Information
Primary practice address
9004 Bridgeport Way Sw
Lakewood WA 98499-2416
Phone: (253) 588-6343
Fax: (253) 588-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00013373 | Washington |
Profile Details
| NPI number | 1588874523 |
|---|---|
| LBN Legal business name | Fitzgerald, Shawna Marie |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588874523 | NPPES |
| Washington | Other | 190471 | LABOR AND INDUSTRIES |
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