Fitzgerald, Thomas M
Fitzgerald, Thomas M is an sole proprietor health care provider with primary practice located at 1350 Medical Center Drive Ste B, Rohnert Park CA 94928. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Fitzgerald, Thomas M can be contacted via phone (707) 586-9300.Contact Information
Primary practice address
1350 Medical Center Drive Ste B
Rohnert Park CA 94928
Phone: (707) 586-9300
Fax: (707) 586-1252
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3409 | California |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E3409 | California |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E3409 | California |
Profile Details
NPI number | 1841231834 |
---|---|
LBN Legal business name | Fitzgerald, Thomas M |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2006 |
Last updated | May 16th, 2013 - about 11 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 | 1841231834 | NPPES |
California | MEDICAID | 000E34090 | |
California | Other | 000E34090 | |
California | Other | 680159845 |
Popular Providers
-
Derickson, Kevin Matthew
2121 S Oneida St Ste 270 , Denver CO 80224-2551 -
Zimmerman, Paul P
610 State Farm Rd Ste C, Boone NC 28607-4738 -
Morgan, Jack
500 N Garfield Ave Ste 108, Monterey Park CA 91754-1242 -
Fields, Barry Alan
409 S Riverside Ave , Croton On Hudson NY 10520-3026 -
Graham, Mary Margaret
1130 Western Ave , Chillicothe OH 45601-1174 -
Kaufman, Sean L.
528 Boulevard , Kenilworth NJ 07033-1657 -
Belli, Richard Anthony
5010 Skillman Ave , Woodside NY 11377-4156 -
Wagreich, Carl
23451 Madison St Ste 230, Torrance CA 90505-4761