Fitzpatrick, Jennifer
Fitzpatrick, Jennifer is an individual health care provider with primary practice located at 3676 Parker Blvd Suite 390, Pueblo CO 81008-2210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Fitzpatrick, Jennifer can be contacted via phone (719) 595-7780.Contact Information
Primary practice address
3676 Parker Blvd Suite 390
Pueblo CO 81008-2210
Phone: (719) 595-7780
Fax: (719) 595-7789
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 49140 | Colorado |
Profile Details
NPI number | 1154460186 |
---|---|
LBN Legal business name | Fitzpatrick, Jennifer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 6th, 2007 |
Last updated | Aug 12th, 2014 - about 11 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 | 1154460186 | NPPES |
Colorado | MEDICAID | 06488846 |
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