Fredere, Gayle S

Fredere, Gayle S is an sole proprietor health care provider with primary practice located at 6508 Bienville Ct , Mobile AL 36695-3259. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Fredere, Gayle S can be contacted via phone (251) 709-6980.

Contact Information

Primary practice address
6508 Bienville Ct Mobile AL 36695-3259
Phone: (251) 709-6980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1-024624 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1024624 Alabama

Profile Details

NPI number 1285620674
LBN Legal business name Fredere, Gayle S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Dec 12th, 2013 - about 12 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 1285620674 NPPES
Alabama Other 115135 MEDICAID AOC
Alabama Other 511-00430 MEDICAID AOC
Alabama Other 511-00442 MEDICAID AOC
Alabama Other 051057537 MEDICAID AOC
Alabama MEDICAID 000057537 MEDICAID AOC
Alabama Other 115141 MEDICAID AOC

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