Board, Frederick

Board, Frederick is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Board, Frederick can be contacted via phone (909) 388-9191.

Contact Information

Primary practice address
2080 S E St San Bernardino CA 92408
Phone: (909) 388-9191
Fax: (909) 388-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316229495
LBN Legal business name Board, Frederick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Jul 19th, 2022 - about 3 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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