Dial, Freddie

Dial, Freddie is an sole proprietor health care provider with primary practice located at 3975 Jackson St Ste. 200, Riverside CA 92503-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Dial, Freddie can be contacted via phone (951) 353-2769.

Contact Information

Primary practice address
3975 Jackson St Ste. 200 Riverside CA 92503-3901
Fax: (951) 353-2779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X C042356 California

Profile Details

NPI number 1093894941
LBN Legal business name Dial, Freddie
Credentials M.D., FACE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1093894941 NPPES
California MEDICAID 00C423560

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