Fitzthum, Jeffery Edward

Fitzthum, Jeffery Edward is an sole proprietor health care provider with primary practice located at 549 Main St , Edmonds WA 98020-3149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Chiropractic Providers / Chiropractor. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Fitzthum, Jeffery Edward can be contacted via phone (425) 967-6974.

Contact Information

Primary practice address
549 Main St Edmonds WA 98020-3149
Phone: (425) 967-6974
Fax: (425) 967-5480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00038676 Washington
Chiropractic Providers / Chiropractor 111N00000X CH00034708 Washington

Profile Details

NPI number 1962434142
LBN Legal business name Fitzthum, Jeffery Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Mar 24th, 2016 - about 9 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 1962434142 NPPES
Washington MEDICAID 8254245

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