Frederick, Craig Jude

Frederick, Craig Jude is an individual health care provider with primary practice located at 600 N Lewis St , New Iberia LA 70563-2043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Frederick, Craig Jude can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
600 N Lewis St New Iberia LA 70563-2043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23725 Louisiana

Profile Details

NPI number 1033176185
LBN Legal business name Frederick, Craig Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1033176185 NPPES
Louisiana MEDICAID 1664286

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