Fitzgerald, Kevin G
Fitzgerald, Kevin G is an sole proprietor health care provider with primary practice located at 1013 Wexford Plaza Dr , Wexford PA 15090-9214. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fitzgerald, Kevin G can be contacted via phone (724) 940-2323.Contact Information
Primary practice address
1013 Wexford Plaza Dr
Wexford PA 15090-9214
Phone: (724) 940-2323
Fax: (724) 940-2340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT013543L | Pennsylvania |
Profile Details
| NPI number | 1972564789 |
|---|---|
| LBN Legal business name | Fitzgerald, Kevin G |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 20th, 2013 - about 13 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 | 1972564789 | NPPES |
| Pennsylvania | MEDICAID | 0018254100004 |
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