Frederick, Willard J.
Frederick, Willard J. is an individual health care provider with primary practice located at 240 N Tillotson Ave , Muncie IN 47304-3988. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Frederick, Willard J. can be contacted via phone (765) 288-1928.Contact Information
Primary practice address
240 N Tillotson Ave
Muncie IN 47304-3988
Phone: (765) 288-1928
Fax: (765) 741-0340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001033A | Indiana |
Profile Details
| NPI number | 1659323954 |
|---|---|
| LBN Legal business name | Frederick, Willard J. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 4th, 2020 - about 4 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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