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
Fax: (207) 990-4846
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104320696 NPPES
Maine Other MD26909 BOARD OF LICENSURE IN MEDICINE

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