Fredrick, Beverly

Fredrick, Beverly is an sole proprietor health care provider with primary practice located at 101 S Charles St , Calmar IA 52132-7858. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Fredrick, Beverly can be contacted via phone (563) 380-9242.

Contact Information

Primary practice address
101 S Charles St Calmar IA 52132-7858
Phone: (563) 380-9242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1245633106
LBN Legal business name Fredrick, Beverly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2014
Last updated Oct 6th, 2014 - about 10 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 1245633106 NPPES
Iowa MEDICAID X000705575

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