Fitzsimons, Mary Antionette
Fitzsimons, Mary Antionette is an individual health care provider with primary practice located at 3901 Lone Tree Way , Antioch CA 94509-6200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Fitzsimons, Mary Antionette can be contacted via phone (925) 779-7273.Contact Information
Primary practice address
3901 Lone Tree Way
Antioch CA 94509-6200
Phone: (925) 779-7273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G56339 | California |
Profile Details
| NPI number | 1053330431 |
|---|---|
| LBN Legal business name | Fitzsimons, Mary Antionette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 24th, 2007 - about 18 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 | 1053330431 | NPPES |
| California | MEDICAID | 00G563390 |
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