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
Fax: (530) 477-7755
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689640658 NPPES
California MEDICAID 00A635230

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