Fitzgerald, Thomas M
Fitzgerald, Thomas M is an sole proprietor health care provider with primary practice located at 903 Northeast Dr Suite 300, Davidson NC 28036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fitzgerald, Thomas M can be contacted via phone (704) 894-9309.Contact Information
Primary practice address
903 Northeast Dr Suite 300
Davidson NC 28036
Phone: (704) 894-9309
Fax: (704) 894-9304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 93-00112 | North Carolina |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 93-00112 | North Carolina |
Profile Details
| NPI number | 1942364328 |
|---|---|
| LBN Legal business name | Fitzgerald, Thomas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | May 18th, 2015 - about 9 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 | 1942364328 | NPPES |
| North Carolina | Other | 562277677 | BCBS OF NC |
| North Carolina | MEDICAID | 8932269 | BCBS OF NC |
| North Carolina | Other | B3348 | BCBS OF NC |
| North Carolina | Other | 562277677 | BCBS OF NC |
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