Frederick, Robert Winston
Frederick, Robert Winston is an individual health care provider with primary practice located at 600 Evergreen Dr Ste 201 , Glen Mills PA 19342-1053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Frederick, Robert Winston can be contacted via phone (267) 339-3558.Contact Information
Primary practice address
600 Evergreen Dr Ste 201
Glen Mills PA 19342-1053
Phone: (267) 339-3558
Fax: (267) 339-3763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25MA06942500 | New Jersey |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 73829 | Massachusetts |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD068498L | Pennsylvania |
Profile Details
| NPI number | 1285671065 |
|---|---|
| LBN Legal business name | Frederick, Robert Winston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Feb 18th, 2022 - about 3 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 | 1285671065 | NPPES |
| Pennsylvania | Other | 2170578 | AETNA |
| Pennsylvania | Other | 0440582000 | AETNA |
| Pennsylvania | Other | 2378262 | AETNA |
| Pennsylvania | Other | 0819217000 | AETNA |
| Pennsylvania | Other | 2781249 | AETNA |
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