Fredricks, Michelle
Fredricks, Michelle is an individual health care provider with primary practice located at 910 N Highway 146 Frontage , Baytown TX 77520-3947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fredricks, Michelle can be contacted via phone (281) 837-7571.Contact Information
Primary practice address
910 N Highway 146 Frontage
Baytown TX 77520-3947
Phone: (281) 837-7571
Fax: (281) 425-3992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K0299 | Texas |
Profile Details
| NPI number | 1912909250 |
|---|---|
| LBN Legal business name | Fredricks, Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912909250 | NPPES |
| Texas | MEDICAID | 127646103 |
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