Fradkin, David Lawrence

Fradkin, David Lawrence is an individual health care provider with primary practice located at 735 Westhampton Road , Northampton MA 01062. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Fradkin, David Lawrence can be contacted via phone (413) 584-0022.

Contact Information

Primary practice address
735 Westhampton Road Northampton MA 01062
Phone: (413) 584-0022
Fax: (508) 753-0665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 77 Massachusetts

Profile Details

NPI number 1609992445
LBN Legal business name Fradkin, David Lawrence
Credentials MA CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1609992445 NPPES
Massachusetts MEDICAID 5102065

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