Fredrick, Nathan P
Fredrick, Nathan P is an sole proprietor health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fredrick, Nathan P can be contacted via phone (843) 347-8015.Contact Information
Primary practice address
300 Singleton Ridge Rd
Conway SC 29526-9142
Phone: (843) 347-8015
Fax: (843) 347-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 637 | South Carolina |
Profile Details
| NPI number | 1871525907 |
|---|---|
| LBN Legal business name | Fredrick, Nathan P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 17th, 2011 - about 13 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 | 1871525907 | NPPES |
| Other | 020051649 | MEDICARE RAILROAD | |
| MEDICAID | 0361220182 | MEDICARE RAILROAD | |
| MEDICAID | T00391 | MEDICARE RAILROAD | |
| Other | P00679662 | MEDICARE RAILROAD | |
| Other | P00936457 | MEDICARE RAILROAD |
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