Cruickshank, Frederick A

Cruickshank, Frederick A is an sole proprietor health care provider with primary practice located at 103 Commerce Centre Dr Suite 103, Huntersville NC 28078-5869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Cruickshank, Frederick A can be contacted via phone (704) 948-8582.

Contact Information

Primary practice address
103 Commerce Centre Dr Suite 103 Huntersville NC 28078-5869
Phone: (704) 948-8582
Fax: (704) 948-8572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2006-01174 North Carolina

Profile Details

NPI number 1659390441
LBN Legal business name Cruickshank, Frederick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Nov 22nd, 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 1659390441 NPPES
North Carolina Other 2006-01174 STATE LICENSE
North Carolina MEDICAID 5908056 STATE LICENSE

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