Fitzgerald, William Edmond

Fitzgerald, William Edmond is an individual health care provider with primary practice located at 3625 N Elm St Suite 110A, Greensboro NC 27455-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fitzgerald, William Edmond can be contacted via phone (336) 282-4840.

Contact Information

Primary practice address
3625 N Elm St Suite 110A Greensboro NC 27455-2604
Fax: (336) 282-4660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200100865 North Carolina

Profile Details

NPI number 1174574156
LBN Legal business name Fitzgerald, William Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Mar 15th, 2010 - about 14 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 1174574156 NPPES
Virginia MEDICAID 010112419
Virginia Other 137UW
Virginia MEDICAID 89137UW

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