Fitzpatrick, Jill Elizabeth
Fitzpatrick, Jill Elizabeth is an individual health care provider with primary practice located at 280 Sierra College Dr Suite 120, Grass Valley CA 95945-5763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitzpatrick, Jill Elizabeth can be contacted via phone (530) 477-4480.Contact Information
Primary practice address
280 Sierra College Dr Suite 120
Grass Valley CA 95945-5763
Phone: (530) 477-4480
Fax: (530) 477-7755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00A635230 | California |
Profile Details
| NPI number | 1689640658 |
|---|---|
| LBN Legal business name | Fitzpatrick, Jill Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Dec 5th, 2013 - 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 | 1689640658 | NPPES |
| California | MEDICAID | 00A635230 |
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