Fitzpatrick, Clayton Brennan

Fitzpatrick, Clayton Brennan is an individual health care provider with primary practice located at 4199 Gateway Blvd. Suite 3100, Newburgh IN 47630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Fitzpatrick, Clayton Brennan can be contacted via phone (812) 842-4550.

Contact Information

Primary practice address
4199 Gateway Blvd. Suite 3100 Newburgh IN 47630
Phone: (812) 842-4550
Fax: (812) 842-4549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2005-00676 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 01056421A Indiana

Profile Details

NPI number 1629011424
LBN Legal business name Fitzpatrick, Clayton Brennan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 9th, 2019 - about 5 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 1629011424 NPPES
Indiana MEDICAID 200921290
Indiana MEDICAID 5901314

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