Frederick, Ronald James

Frederick, Ronald James is an individual health care provider with primary practice located at 3100 W Lake St Suite 107, Minneapolis MN 55416-4527. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Frederick, Ronald James can be contacted via phone (612) 926-8149.

Contact Information

Primary practice address
3100 W Lake St Suite 107 Minneapolis MN 55416-4527
Phone: (612) 926-8149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4015 Minnesota

Profile Details

NPI number 1417957101
LBN Legal business name Frederick, Ronald James
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 8th, 2007 - about 17 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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