Fitzgerald, Susan Kathleen

Fitzgerald, Susan Kathleen is an sole proprietor health care provider with primary practice located at 8100 Ashton Ave Ste. 207, Manassas VA 20109-5622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitzgerald, Susan Kathleen can be contacted via phone (703) 334-5801.

Contact Information

Primary practice address
8100 Ashton Ave Ste. 207 Manassas VA 20109-5622
Phone: (703) 334-5801
Fax: (703) 334-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101057533 Virginia

Profile Details

NPI number 1730175209
LBN Legal business name Fitzgerald, Susan Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Jan 6th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730175209 NPPES
Other 2199062 AETNA HMO
Other 309288 AETNA HMO
Other 5649863 AETNA HMO
Other 7049008 AETNA HMO

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