Fredrickson, Jordan

Fredrickson, Jordan is an sole proprietor health care provider with primary practice located at 2825 Westridge Oaks Ct , Grover MO 63040-1130. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Fredrickson, Jordan can be contacted via phone (314) 706-0655.

Contact Information

Primary practice address
2825 Westridge Oaks Ct Grover MO 63040-1130
Phone: (314) 706-0655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1376382267
LBN Legal business name Fredrickson, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2024
Last updated May 21st, 2024 - about last year

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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