Fitzgibbon, Laurie Jean

Fitzgibbon, Laurie Jean is an individual health care provider with primary practice located at 1330 Mercy Dr Nw Suite 418, Canton OH 44708-2626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fitzgibbon, Laurie Jean can be contacted via phone (330) 489-1454.

Contact Information

Primary practice address
1330 Mercy Dr Nw Suite 418 Canton OH 44708-2626
Phone: (330) 489-1454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.18318-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X COA.10052-NS Ohio

Profile Details

NPI number 1902261944
LBN Legal business name Fitzgibbon, Laurie Jean
Credentials NP-C, CCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2015
Last updated Jan 6th, 2016 - about 8 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 1902261944 NPPES
Ohio MEDICAID 0152995

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