Fitzgerald, Stephanie M
Fitzgerald, Stephanie M is an sole proprietor health care provider with primary practice located at 34 Summer St , Salem MA 01970-3317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fitzgerald, Stephanie M can be contacted via phone (978) 744-8608.Contact Information
Primary practice address
34 Summer St
Salem MA 01970-3317
Phone: (978) 744-8608
Fax: (978) 741-3702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 117519 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 117519 | Massachusetts |
Profile Details
| NPI number | 1295803112 |
|---|---|
| LBN Legal business name | Fitzgerald, Stephanie M |
| Credentials | RN,MS,CS,PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Oct 20th, 2009 - about 15 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 | 1295803112 | NPPES |
| Massachusetts | MEDICAID | 0356867 |
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