Fredrickson, Bruce E

Fredrickson, Bruce E is an individual health care provider with primary practice located at 550 Harrison St Ste 130, Syracuse NY 13202-3064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Fredrickson, Bruce E can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
550 Harrison St Ste 130 Syracuse NY 13202-3064
Phone: (315) 464-4472
Fax: (315) 464-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 122366 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 122366 New York

Profile Details

NPI number 1477558492
LBN Legal business name Fredrickson, Bruce E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 5th, 2007 - about 17 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 1477558492 NPPES
New York MEDICAID 00522514
New York Other 122366

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