Frederick, Shara Joanne

Frederick, Shara Joanne is an individual health care provider with primary practice located at 506 6Th St , Brooklyn NY 11215-3609. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Frederick, Shara Joanne can be contacted via phone (718) 499-3636.

Contact Information

Primary practice address
506 6Th St Brooklyn NY 11215-3609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 001751 New York

Profile Details

NPI number 1407303415
LBN Legal business name Frederick, Shara Joanne
Credentials CM,LM,MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Apr 21st, 2023 - about 2 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 1407303415 NPPES
New York MEDICAID 001751

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