Frederick, Isaac Joseph

Frederick, Isaac Joseph is an individual health care provider with primary practice located at 310 Harbor Blvd Bldg E , Belmont CA 94002-4018. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Frederick, Isaac Joseph can be contacted via phone (650) 802-3351.

Contact Information

Primary practice address
310 Harbor Blvd Bldg E Belmont CA 94002-4018
Phone: (650) 802-3351
Fax: (650) 591-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X OH35778 California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1417225244
LBN Legal business name Frederick, Isaac Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2011
Last updated Jun 30th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417225244 NPPES
California Other 1411033663 EMPLOYER ID NUMBER

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