Fredrickson, Gary Leroy

Fredrickson, Gary Leroy is an individual health care provider with primary practice located at 361 Grant Ave , Junction City KS 66441-4201. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fredrickson, Gary Leroy can be contacted via phone (785) 238-4711.

Contact Information

Primary practice address
361 Grant Ave Junction City KS 66441-4201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5909 Kansas

Profile Details

NPI number 1992774582
LBN Legal business name Fredrickson, Gary Leroy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 12th, 2022 - about 2 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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