Frede, James R

Frede, James R is an sole proprietor health care provider with primary practice located at 430 Kele St Ste 401 , Kahului HI 96732-3406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Frede, James R can be contacted via phone (808) 250-4427.

Contact Information

Primary practice address
430 Kele St Ste 401 Kahului HI 96732-3406
Fax: (808) 873-6429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13879 Hawaii

Profile Details

NPI number 1497757223
LBN Legal business name Frede, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Sep 15th, 2011 - 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 1497757223 NPPES
Ohio Other 330359461026 CARESOURCE
Ohio MEDICAID 2139519 CARESOURCE
Ohio Other 000000177604 CARESOURCE
Ohio Other 2188078 CARESOURCE
Ohio Other 0702306 CARESOURCE

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