Fitzgerald, Stephen Charles
Fitzgerald, Stephen Charles is an individual health care provider with primary practice located at 352 Hospital Blvd , Pineville LA 71360-6903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fitzgerald, Stephen Charles can be contacted via phone (318) 448-0811.Contact Information
Primary practice address
352 Hospital Blvd
Pineville LA 71360-6903
Phone: (318) 448-0811
Fax: (318) 473-1435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12019R | Louisiana |
Profile Details
| NPI number | 1396774659 |
|---|---|
| LBN Legal business name | Fitzgerald, Stephen Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 27th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396774659 | NPPES |
| Louisiana | MEDICAID | 1690457 |
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