Fitleberg, Bonnie

Fitleberg, Bonnie is an individual health care provider with primary practice located at 3430 Worthington Blvd Suite 103, Frederick MD 21704-7017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitleberg, Bonnie can be contacted via phone (240) 215-6900.

Contact Information

Primary practice address
3430 Worthington Blvd Suite 103 Frederick MD 21704-7017
Phone: (240) 215-6900
Fax: (240) 436-6300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0065201 Maryland

Profile Details

NPI number 1568436426
LBN Legal business name Fitleberg, Bonnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 2nd, 2016 - about 10 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 1568436426 NPPES
Maryland MEDICAID 926580509
Maryland MEDICAID 926580505

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