Deweese, Frederick Thane
Deweese, Frederick Thane is an sole proprietor health care provider with primary practice located at 200 Clint Hill Blvd , Paducah KY 42001-6768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Deweese, Frederick Thane can be contacted via phone (270) 442-9461.Contact Information
Primary practice address
200 Clint Hill Blvd
Paducah KY 42001-6768
Phone: (270) 442-9461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 36333 | Kentucky |
Profile Details
| NPI number | 1891784757 |
|---|---|
| LBN Legal business name | Deweese, Frederick Thane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | May 1st, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891784757 | NPPES |
| Kentucky | MEDICAID | 64028889 |
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