Frederick, Sandra
Frederick, Sandra is an sole proprietor health care provider with primary practice located at 31245 Harper Ave , Saint Clair Shores MI 48082-1401. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Frederick, Sandra can be contacted via phone (586) 783-5505.Contact Information
Primary practice address
31245 Harper Ave
Saint Clair Shores MI 48082-1401
Phone: (586) 783-5505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901021335 | Michigan |
Profile Details
| NPI number | 1053729921 |
|---|---|
| LBN Legal business name | Frederick, Sandra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2014 |
| Last updated | Jul 23rd, 2014 - about 10 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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