Frederick, Shirley A

Frederick, Shirley A is an individual health care provider with primary practice located at 879 Lafayette Rd , Hampton NH 03842-1258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Frederick, Shirley A can be contacted via phone (603) 929-1195.

Contact Information

Primary practice address
879 Lafayette Rd Hampton NH 03842-1258
Fax: (603) 929-1196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14287 New Hampshire

Profile Details

NPI number 1194788703
LBN Legal business name Frederick, Shirley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 7th, 2023 - about last year

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 1194788703 NPPES
New Hampshire MEDICAID 3074484

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