Fitzgerald, Michael Taylor

Fitzgerald, Michael Taylor is an individual health care provider with primary practice located at 921 S Beacon St , San Pedro CA 90731-3740. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Fitzgerald, Michael Taylor can be contacted via phone (310) 984-3055.

Contact Information

Primary practice address
921 S Beacon St San Pedro CA 90731-3740
Phone: (310) 984-3055
Fax: (310) 984-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1417149725
LBN Legal business name Fitzgerald, Michael Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Feb 12th, 2014 - about 11 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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