Frederickson, James

Frederickson, James is an individual health care provider with primary practice located at 5635 Taylor Ave , Mount Pleasant WI 53403-9732. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Frederickson, James can be contacted via phone (262) 930-7616.

Contact Information

Primary practice address
5635 Taylor Ave Mount Pleasant WI 53403-9732
Phone: (262) 930-7616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X F6364559441101 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X F6364559441101 Wisconsin

Profile Details

NPI number 1518405554
LBN Legal business name Frederickson, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2017
Last updated Jul 2nd, 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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