Fitzgerald, Timothy

Fitzgerald, Timothy is an individual health care provider with primary practice located at 13395 N Marana Main St , Marana AZ 85653-7008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Fitzgerald, Timothy can be contacted via phone (520) 682-4111.

Contact Information

Primary practice address
13395 N Marana Main St Marana AZ 85653-7008
Phone: (520) 682-4111
Fax: (520) 818-3630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0320000477 Vermont
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2471 Arizona

Profile Details

NPI number 1811964836
LBN Legal business name Fitzgerald, Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 24th, 2016 - about 9 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 1811964836 NPPES
Arizona MEDICAID 285404

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