Alfredson, Knute Stephen
Alfredson, Knute Stephen is an individual health care provider with primary practice located at 655 Main St , Fitchburg MA 01420-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alfredson, Knute Stephen can be contacted via phone (978) 342-7590.Contact Information
Primary practice address
655 Main St
Fitchburg MA 01420-3107
Phone: (978) 342-7590
Fax: (978) 342-4433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35256 | Massachusetts |
Profile Details
| NPI number | 1003922576 |
|---|---|
| LBN Legal business name | Alfredson, Knute Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003922576 | NPPES |
| Massachusetts | MEDICAID | 3157075 |
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