Fitzpatrick, Fred M

Fitzpatrick, Fred M is an sole proprietor health care provider with primary practice located at 690 N Il Route 31 , Crystal Lake IL 60012-3790. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Fitzpatrick, Fred M can be contacted via phone (815) 459-2727.

Contact Information

Primary practice address
690 N Il Route 31 Crystal Lake IL 60012-3790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X A13595 Illinois

Profile Details

NPI number 1063526796
LBN Legal business name Fitzpatrick, Fred M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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