Fitzgerald, Paul Martin
Fitzgerald, Paul Martin is an individual health care provider with primary practice located at 1351 Main St , Brockton MA 02301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fitzgerald, Paul Martin can be contacted via phone (508) 587-2000.Contact Information
Primary practice address
1351 Main St
Brockton MA 02301
Phone: (508) 587-2000
Fax: (508) 580-3552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10545 | Massachusetts |
Profile Details
| NPI number | 1275588956 |
|---|---|
| LBN Legal business name | Fitzgerald, Paul Martin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | May 4th, 2012 - about 14 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 | 1275588956 | NPPES |
| Massachusetts | MEDICAID | 0222321 |
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