Frederiksen, Paul B
Frederiksen, Paul B is an individual health care provider with primary practice located at 103 South 19Th Ave , Hattiesburg MS 39402. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Frederiksen, Paul B can be contacted via phone (601) 544-4641.Contact Information
Primary practice address
103 South 19Th Ave
Hattiesburg MS 39402
Phone: (601) 544-4641
Fax: (601) 582-1602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 51 886 | Mississippi |
Profile Details
| NPI number | 1568745545 |
|---|---|
| LBN Legal business name | Frederiksen, Paul B |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2011 |
| Last updated | Sep 26th, 2011 - about 14 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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