Frede, Scott M

Frede, Scott M is an individual health care provider with primary practice located at 1190 W Main St , Vevay IN 47043. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Frede, Scott M can be contacted via phone (812) 427-9564.

Contact Information

Primary practice address
1190 W Main St Vevay IN 47043
Phone: (812) 427-9564
Fax: (812) 427-9621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01052679 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01052679 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01052679 Indiana

Profile Details

NPI number 1760411227
LBN Legal business name Frede, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 25th, 2022 - about 3 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 1760411227 NPPES
Kentucky MEDICAID 64018054
Kentucky Other 7475123
Kentucky Other 000000186610
Kentucky Other 080157891
Kentucky Other 792121P
Kentucky MEDICAID 200257500A

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