Fitzwater, Alice
Fitzwater, Alice is an individual health care provider with primary practice located at 1670 Corporate Cir Ste 100 , Petaluma CA 94954. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fitzwater, Alice can be contacted via phone (707) 308-2102.Contact Information
Primary practice address
1670 Corporate Cir Ste 100
Petaluma CA 94954
Phone: (707) 308-2102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1841765666 |
|---|---|
| LBN Legal business name | Fitzwater, Alice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2018 |
| Last updated | Nov 13th, 2018 - about 7 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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