Frederic, Jeffrey E.

Frederic, Jeffrey E. is an individual health care provider with primary practice located at 7373 Perkins Rd , Baton Rouge LA 70808-4326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Frederic, Jeffrey E. can be contacted via phone (225) 769-4044.

Contact Information

Primary practice address
7373 Perkins Rd Baton Rouge LA 70808-4326
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 026034 Louisiana

Profile Details

NPI number 1417997974
LBN Legal business name Frederic, Jeffrey E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 2nd, 2017 - about 7 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 1417997974 NPPES
Louisiana MEDICAID 1055026

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