Fitzgerald, Stacy A

Fitzgerald, Stacy A is an sole proprietor health care provider with primary practice located at 4887 Wymosa St , Boise ID 83703-4359. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Fitzgerald, Stacy A can be contacted via phone (208) 890-7984.

Contact Information

Primary practice address
4887 Wymosa St Boise ID 83703-4359
Phone: (208) 890-7984
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1730247719
LBN Legal business name Fitzgerald, Stacy A
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 20th, 2011 - about 13 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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