Fredell, John E

Fredell, John E is an individual health care provider with primary practice located at 40520 County Highway 34 , Ogema MN 56569-9612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fredell, John E can be contacted via phone (218) 983-4300.

Contact Information

Primary practice address
40520 County Highway 34 Ogema MN 56569-9612
Phone: (218) 983-4300
Fax: (218) 983-6394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24059 Minnesota

Profile Details

NPI number 1962445171
LBN Legal business name Fredell, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 1st, 2012 - about 13 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 1962445171 NPPES
Minnesota Other 0106863 MEDICA #
Minnesota Other 10065 MEDICA #
Minnesota MEDICAID 18686 MEDICA #
Minnesota Other HP19497 MEDICA #
Minnesota Other 01603FR MEDICA #
Minnesota Other 0106061 MEDICA #
Minnesota Other DA9041015692 MEDICA #
Minnesota Other MN100038 MEDICA #
Minnesota Other 0106058 MEDICA #
Minnesota Other 125910 MEDICA #
Minnesota Other 900856 MEDICA #

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