Frederich, Jeffrey L

Frederich, Jeffrey L is an individual health care provider with primary practice located at 120 Pershing Way , Paducah KY 42001-8914. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Frederich, Jeffrey L can be contacted via phone (270) 816-7526.

Contact Information

Primary practice address
120 Pershing Way Paducah KY 42001-8914
Phone: (270) 816-7526
Fax: (270) 908-8322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 43994 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 43994 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43994 Kentucky

Profile Details

NPI number 1508882010
LBN Legal business name Frederich, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Feb 15th, 2013 - about 11 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 1508882010 NPPES
Kentucky MEDICAID 7100109070
Kentucky Other 43994

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