Frederickson, Renee A

Frederickson, Renee A is an individual health care provider with primary practice located at 905 Highland Blvd Suite 4500, Bozeman MT 59715-6903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Frederickson, Renee A can be contacted via phone (406) 414-5150.

Contact Information

Primary practice address
905 Highland Blvd Suite 4500 Bozeman MT 59715-6903
Phone: (406) 414-5150
Fax: (406) 414-5175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 69114 Montana

Profile Details

NPI number 1528039930
LBN Legal business name Frederickson, Renee A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 5th, 2021 - about 3 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 1528039930 NPPES
Montana MEDICAID 1528039930

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