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Contact Information

DANIEL J. FITZPATRICK, D.O.
341 YOUNGSTOWN KINGSVILLE RD SE
VIENNA CENTER, OH44473-9601
 Phone: 330-394-2305
 Fax: 330-394-1405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DANIEL J. FITZPATRICK, D.O.

NPI Number 1083999098
LBN Legal business name DANIEL J. FITZPATRICK, D.O.
Authorized official DANIEL FITZPATRICK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2011
Last updated 10/21/2011 - About 15 years ago
Identifiers
OH License # 30-00-3237
OH Medicaid 0629627
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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