Fitzpatrick-Sherman, Vivica J
Fitzpatrick-Sherman, Vivica J is an individual health care provider with primary practice located at 2864 Ashmun Street Sault Tribal Health Center, Sault Sainte Marie MI 49783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fitzpatrick-Sherman, Vivica J can be contacted via phone (906) 632-5200.Contact Information
Primary practice address
2864 Ashmun Street Sault Tribal Health Center
Sault Sainte Marie MI 49783
Phone: (906) 632-5200
Fax: (906) 632-5276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301053961 | Michigan |
Profile Details
| NPI number | 1386699791 |
|---|---|
| LBN Legal business name | Fitzpatrick-Sherman, Vivica J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 24th, 2008 - about 18 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 | 1386699791 | NPPES |
| Michigan | Other | 080A760010 | BCBS |
| Michigan | MEDICAID | 1969581 | BCBS |
| Michigan | MEDICAID | 4410400 | BCBS |
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