Fredricks, Robert E
Fredricks, Robert E is an individual health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fredricks, Robert E can be contacted via phone (760) 631-5000.Contact Information
Primary practice address
1000 Vale Terrace Dr
Vista CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G86902 | California |
Profile Details
| NPI number | 1073524492 |
|---|---|
| LBN Legal business name | Fredricks, Robert E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073524492 | NPPES |
| Other | FHC70267F | MEDI-CAL |
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