Fitzpatrick, Jill Aileen
Fitzpatrick, Jill Aileen is an individual health care provider with primary practice located at 101 Judge Tanner Blvd. #302, Covington LA 70433-7506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fitzpatrick, Jill Aileen can be contacted via phone (985) 809-5800.Contact Information
Primary practice address
101 Judge Tanner Blvd. #302
Covington LA 70433-7506
Phone: (985) 809-5800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.203185 | Louisiana |
Profile Details
| NPI number | 1578743811 |
|---|---|
| LBN Legal business name | Fitzpatrick, Jill Aileen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2007 |
| Last updated | Dec 6th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578743811 | NPPES |
| Mississippi | MEDICAID | 09653328 | |
| Mississippi | MEDICAID | 1005444 |
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