Frederick, Jessica

Frederick, Jessica is an sole proprietor health care provider with primary practice located at 313 S 5Th St , Odessa DE 19730-2078. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Frederick, Jessica can be contacted via phone (302) 376-4128.

Contact Information

Primary practice address
313 S 5Th St Odessa DE 19730-2078
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 88798 Delaware

Profile Details

NPI number 1164915013
LBN Legal business name Frederick, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2018
Last updated Jun 14th, 2018 - about 7 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 1164915013 NPPES
Delaware Other 88798 STATE OF DELAWARE

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