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:
Health care specialties
| Specialty | Code | License # | 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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