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
Phone: (800) 893-9698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033176185 | NPPES |
| Louisiana | MEDICAID | 1664286 |
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