Frederick, Paul L

Frederick, Paul L is an sole proprietor health care provider with primary practice located at 500 Medical Arts Bldg Suite 510, Kittanning PA 16201-7137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Frederick, Paul L can be contacted via phone (724) 954-6115.

Contact Information

Primary practice address
500 Medical Arts Bldg Suite 510 Kittanning PA 16201-7137
Fax: (724) 548-5683
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD006827E Pennsylvania

Profile Details

NPI number 1518921782
LBN Legal business name Frederick, Paul L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Nov 2nd, 2009 - about 15 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 1518921782 NPPES
Pennsylvania MEDICAID 0006359850003

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