Fitzpatrick, Ednecia

Fitzpatrick, Ednecia is an sole proprietor health care provider with primary practice located at 6107 Broadwing Rd , Trussville AL 35173-6314. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / Home Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Nursing Home Administrator, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is her primary health care specialty. Fitzpatrick, Ednecia can be contacted via phone (404) 442-5001.

Contact Information

Primary practice address
6107 Broadwing Rd Trussville AL 35173-6314
Phone: (404) 442-5001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Nursing Service Related Providers / Nursing Home Administrator 376G00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1205439841
LBN Legal business name Fitzpatrick, Ednecia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 6 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 1205439841 NPPES
Alabama MEDICAID 85-1764905

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