Fitzgerald, Susie
Fitzgerald, Susie is an individual health care provider with primary practice located at 607 Beaman St , Clinton NC 28328-2603. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fitzgerald, Susie can be contacted via phone (910) 596-5421.Contact Information
Primary practice address
607 Beaman St
Clinton NC 28328-2603
Phone: (910) 596-5421
Fax: (910) 596-5432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2021-00367 | North Carolina |
Profile Details
| NPI number | 1902867179 |
|---|---|
| LBN Legal business name | Fitzgerald, Susie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jun 30th, 2022 - about 2 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 | 1902867179 | NPPES |
| North Carolina | MEDICAID | 7412455 | |
| North Carolina | Other | 141J6 |
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