Frederick, Brian J
Frederick, Brian J is an individual health care provider with primary practice located at 1221 Whipple St , Eau Claire WI 54703-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Frederick, Brian J can be contacted via phone (715) 838-5222.Contact Information
Primary practice address
1221 Whipple St
Eau Claire WI 54703-5200
Phone: (715) 838-5222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 61029-20 | Wisconsin |
Profile Details
| NPI number | 1992025605 |
|---|---|
| LBN Legal business name | Frederick, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Oct 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992025605 | NPPES |
| Wisconsin | MEDICAID | 1992025605 |
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