Fitzpatrick, Holly Denise

Fitzpatrick, Holly Denise is an individual health care provider with primary practice located at 331 Sijen Ave , Whiteman Afb MO 65305-1269. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzpatrick, Holly Denise can be contacted via phone (660) 687-4341.

Contact Information

Primary practice address
331 Sijen Ave Whiteman Afb MO 65305-1269
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801077165 Michigan

Profile Details

NPI number 1285627901
LBN Legal business name Fitzpatrick, Holly Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 8th, 2007 - about 19 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 1285627901 NPPES
Michigan Other 6801077165 LICENSE #

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