Frederick, Linda Louise

Frederick, Linda Louise is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Frederick, Linda Louise can be contacted via phone (608) 334-1252.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.004552 Illinois

Profile Details

NPI number 1427358530
LBN Legal business name Frederick, Linda Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Feb 3rd, 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.

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