Fitzgibbon, Dermot Richard

Fitzgibbon, Dermot Richard is an individual health care provider with primary practice located at University Of Washington Medical Ctr 1959 Ne Pacific St, Seattle WA 98195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fitzgibbon, Dermot Richard can be contacted via phone (206) 598-4260.

Contact Information

Primary practice address
University Of Washington Medical Ctr 1959 Ne Pacific St Seattle WA 98195-0001
Phone: (206) 598-4260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD00032514 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00032514 Washington

Profile Details

NPI number 1104901909
LBN Legal business name Fitzgibbon, Dermot Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Mar 7th, 2012 - about 12 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 1104901909 NPPES
Washington MEDICAID 1104901909
Washington Other 9738
Washington Other 0230983
Washington Other 110096408

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