Bahnson, Frederic Fries

Bahnson, Frederic Fries is an sole proprietor health care provider with primary practice located at 188 Medical Park Drive Suite B, Brevard NC 28712. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bahnson, Frederic Fries can be contacted via phone (828) 884-6702.

Contact Information

Primary practice address
188 Medical Park Drive Suite B Brevard NC 28712
Phone: (828) 884-6702
Fax: (828) 884-6925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18599 North Carolina

Profile Details

NPI number 1801899299
LBN Legal business name Bahnson, Frederic Fries
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Jul 9th, 2007 - about 18 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 1801899299 NPPES
North Carolina MEDICAID 8910409
North Carolina Other 1007740
North Carolina Other 10409
North Carolina Other 80389

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