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Individual
DR. JANE M FITZGERALD
Active
Individual
DR. JANE M FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X006268-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01871934
—
NY
01
—
0882368
US HEALTHCARE
NY
01
—
104000500
FEDERAL WORKERS COMP
NY
01
—
5801629
GHI
NY
01
—
C06268-9
WORKERS COMPENSATION
NY
01
—
P414930
OXFORD
NY
Enumeration date
10/20/2006
Last updated
09/20/2018
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