Eyerer, Frederick Inglis Rudolf
Eyerer, Frederick Inglis Rudolf is an individual health care provider with primary practice located at 417 State St Ste 439 , Bangor ME 04401-6635. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Eyerer, Frederick Inglis Rudolf can be contacted via phone (207) 941-8200.Contact Information
Primary practice address
417 State St Ste 439
Bangor ME 04401-6635
Phone: (207) 941-8200
Fax: (207) 990-4846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD26909 | Maine |
Profile Details
| NPI number | 1104320696 |
|---|---|
| LBN Legal business name | Eyerer, Frederick Inglis Rudolf |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2018 |
| Last updated | Jun 28th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104320696 | NPPES |
| Maine | Other | MD26909 | BOARD OF LICENSURE IN MEDICINE |
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