Fredrickson, Harold W
Fredrickson, Harold W is an individual health care provider with primary practice located at 2621 E Clairemont Ave , Eau Claire WI 54701-6726. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Fredrickson, Harold W can be contacted via phone (715) 834-7111.Contact Information
Primary practice address
2621 E Clairemont Ave
Eau Claire WI 54701-6726
Phone: (715) 834-7111
Fax: (715) 834-7112
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 601 | Wisconsin |
Profile Details
NPI number | 1063628147 |
---|---|
LBN Legal business name | Fredrickson, Harold W |
Credentials | HIS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2007 |
Last updated | Jul 9th, 2007 - about 18 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 | 1063628147 | NPPES |
Wisconsin | MEDICAID | 42818300 |
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