Fitzgerald, Michael Dale

Fitzgerald, Michael Dale is an individual health care provider with primary practice located at 1345 Plantation Rd Ne , Roanoke VA 24012. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fitzgerald, Michael Dale can be contacted via phone (540) 699-1824.

Contact Information

Primary practice address
1345 Plantation Rd Ne Roanoke VA 24012
Phone: (540) 699-1824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710103168 Virginia

Profile Details

NPI number 1619604758
LBN Legal business name Fitzgerald, Michael Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2022
Last updated Aug 8th, 2022 - 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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