Fitzpatrick, Ellen Mary
Fitzpatrick, Ellen Mary is an individual health care provider with primary practice located at 3186 S Maryland Pkwy , Las Vegas NV 89109-2317. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Fitzpatrick, Ellen Mary can be contacted via phone (702) 697-0082.Contact Information
Primary practice address
3186 S Maryland Pkwy
Las Vegas NV 89109-2317
Phone: (702) 697-0082
Fax: (702) 369-5827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L4938 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 55777 | Arizona |
Profile Details
| NPI number | 1902875362 |
|---|---|
| LBN Legal business name | Fitzpatrick, Ellen Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Oct 29th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902875362 | NPPES |
| Nevada | MEDICAID | 100509760 |
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