Fitzpatrick, Carol J
Fitzpatrick, Carol J is an sole proprietor health care provider with primary practice located at 1232 Apache Ave , Santa Fe NM 87505-3255. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzpatrick, Carol J can be contacted via phone (505) 424-9159.Contact Information
Primary practice address
1232 Apache Ave
Santa Fe NM 87505-3255
Phone: (505) 424-9159
Fax: (505) 216-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0769 | New Mexico |
Profile Details
| NPI number | 1790710150 |
|---|---|
| LBN Legal business name | Fitzpatrick, Carol J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Apr 8th, 2010 - about 16 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 | 1790710150 | NPPES |
| New Mexico | Other | NM600536 | VALUE OPTIONS |
| New Mexico | Other | 201030542 | VALUE OPTIONS |
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