Ende, Frederick Ivan

Ende, Frederick Ivan is an individual health care provider with primary practice located at 121 S Market St , Petersburg VA 23803-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ende, Frederick Ivan can be contacted via phone (804) 733-8771.

Contact Information

Primary practice address
121 S Market St Petersburg VA 23803-4217
Phone: (804) 733-8771
Fax: (804) 733-1017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BC83897 Virginia

Profile Details

NPI number 1497855373
LBN Legal business name Ende, Frederick Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 26th, 2010 - 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 1497855373 NPPES
Virginia MEDICAID 005861861
Virginia Other 250896

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