Fitzgerald, Vera Ellen

Fitzgerald, Vera Ellen is an individual health care provider with primary practice located at 108 S State St , Yadkinville NC 27055-8249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fitzgerald, Vera Ellen can be contacted via phone (336) 679-2733.

Contact Information

Primary practice address
108 S State St Yadkinville NC 27055-8249
Phone: (336) 679-2733
Fax: (336) 679-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33822 North Carolina

Profile Details

NPI number 1285696864
LBN Legal business name Fitzgerald, Vera Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 13th, 2009 - about 17 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 1285696864 NPPES
North Carolina Other 195349 MEDCOST
North Carolina MEDICAID 8932271 MEDCOST
North Carolina Other 144KP MEDCOST
North Carolina Other 33822 MEDCOST
North Carolina Other 48802 MEDCOST

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