Astle, Fredrick J.

Astle, Fredrick J. is an individual health care provider with primary practice located at 2638 Two Notch Road Suite 110, Columbia SC 29204. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Astle, Fredrick J. can be contacted via phone (803) 256-2500.

Contact Information

Primary practice address
2638 Two Notch Road Suite 110 Columbia SC 29204
Fax: (803) 758-1726
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R38298 South Carolina
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4291 South Carolina

Profile Details

NPI number 1750575338
LBN Legal business name Astle, Fredrick J.
Credentials PHD, APRN, PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Sep 15th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750575338 NPPES
South Carolina Other AA72856580 MEDICARE PTAN

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