Fredrick, Nicholas
Fredrick, Nicholas is an sole proprietor health care provider with primary practice located at 1595 Weld Rd Ste 5 , Elgin IL 60123-5896. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fredrick, Nicholas can be contacted via phone (262) 308-6257.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071010033 | Illinois |
Profile Details
| NPI number | 1013225879 |
|---|---|
| LBN Legal business name | Fredrick, Nicholas |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2010 |
| Last updated | May 14th, 2019 - about 5 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 | 1013225879 | NPPES |
| Illinois | Other | 071010033 | CLINICAL PSYCHOLOGIST LICENSE |
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