Fredericks, Leroy E
Fredericks, Leroy E is an individual health care provider with primary practice located at 2770 3Rd Ave Ste 210 , Lake Charles LA 70601-0404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fredericks, Leroy E can be contacted via phone (337) 494-6768.Contact Information
Primary practice address
2770 3Rd Ave Ste 210
Lake Charles LA 70601-0404
Phone: (337) 494-6768
Fax: (337) 494-6792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD10005R | Louisiana |
Profile Details
| NPI number | 1043335755 |
|---|---|
| LBN Legal business name | Fredericks, Leroy E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Apr 27th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043335755 | NPPES |
| Louisiana | MEDICAID | 1491217 | |
| Louisiana | Other | MD.10005R |
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