Deben, Frederick Joseph

Deben, Frederick Joseph is an individual health care provider with primary practice located at 422 Memorial Blvd , Picayune MS 39466. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Deben, Frederick Joseph can be contacted via phone (601) 798-2151.

Contact Information

Primary practice address
422 Memorial Blvd Picayune MS 39466
Phone: (601) 798-2151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R768485 Mississippi

Profile Details

NPI number 1790827335
LBN Legal business name Deben, Frederick Joseph
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Mar 21st, 2013 - about 11 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 1790827335 NPPES
Mississippi MEDICAID 01930561

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