Frederick, Ronald J

Frederick, Ronald J is an individual health care provider with primary practice located at Hwy 160/163 Bldg Ka2010 , Kayenta AZ 86033-0368. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency. Nursing Service Providers / Registered Nurse is his primary health care specialty. Frederick, Ronald J can be contacted via phone (928) 697-4279.

Contact Information

Primary practice address
Hwy 160/163 Bldg Ka2010 Kayenta AZ 86033-0368
Phone: (928) 697-4279
Fax: (928) 697-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN075432 Arizona
Nursing Service Providers / Emergency 163WE0003X RN075432 Arizona

Profile Details

NPI number 1356582142
LBN Legal business name Frederick, Ronald J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2009
Last updated Mar 9th, 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 1356582142 NPPES
Arizona MEDICAID 060012

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