Fitzgerald, John Joseph

Fitzgerald, John Joseph is an individual health care provider with primary practice located at 8805 N Meridian St , Indianapolis IN 46260-2332. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Fitzgerald, John Joseph can be contacted via phone (317) 706-7246.

Contact Information

Primary practice address
8805 N Meridian St Indianapolis IN 46260-2332
Phone: (317) 706-7246
Fax: (317) 706-3417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01031534A Indiana
Other Service Providers / Specialist 174400000X 01031534A Indiana

Profile Details

NPI number 1700873148
LBN Legal business name Fitzgerald, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jan 25th, 2023 - about 3 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 1700873148 NPPES
Indiana MEDICAID 100473440

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