Individual
TIMOTHY CHARLES FITZGIBBONS
Active
Individual
TIMOTHY CHARLES FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12962
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02765
BCBS OF NEBRASKA
NE
01
—
09-00179
SHARE ADVANTAGE/MERCY RD
NE
01
—
09-01136
SHARE ADVANTAGE/LAKESIDE
NE
05
—
0916833
—
IA
05
—
47063010113
—
NE
01
—
8012
MIDLANDS CHOICE
NE
Enumeration date
06/08/2006
Last updated
11/29/2023
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