Fitzgerald, Susan M.

Fitzgerald, Susan M. is an individual health care provider with primary practice located at 1425 S Main St , Walnut Creek CA 94596-5318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Fitzgerald, Susan M. can be contacted via phone (925) 295-4000.

Contact Information

Primary practice address
1425 S Main St Walnut Creek CA 94596-5318
Phone: (925) 295-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A78708 California

Profile Details

NPI number 1740332964
LBN Legal business name Fitzgerald, Susan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Dec 9th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740332964 NPPES
California MEDICAID 00A787080

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