Fitzgerald, Shari J.
Fitzgerald, Shari J. is an sole proprietor health care provider with primary practice located at 1790 Airport Road, #B , Breckenridge CO 80424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitzgerald, Shari J. can be contacted via phone (970) 453-7600.Contact Information
Primary practice address
1790 Airport Road, #B
Breckenridge CO 80424
Phone: (970) 453-7600
Fax: (970) 453-7688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26641 | Colorado |
Profile Details
| NPI number | 1871517193 |
|---|---|
| LBN Legal business name | Fitzgerald, Shari J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Mar 1st, 2011 - about 15 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 | 1871517193 | NPPES |
| New Mexico | Other | HSZ196 | MEDICARE PART B |
| New Mexico | MEDICAID | 66635357 | MEDICARE PART B |
| New Mexico | MEDICAID | K3526 | MEDICARE PART B |
| New Mexico | Other | 8HM230 | MEDICARE PART B |
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