Fredrickson, Leanne
Fredrickson, Leanne is an individual health care provider with primary practice located at 3001 Green Bay Rd M/C 160, North Chicago IL 60064-3048. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fredrickson, Leanne can be contacted via phone (224) 610-3749.Contact Information
Primary practice address
3001 Green Bay Rd M/C 160
North Chicago IL 60064-3048
Phone: (224) 610-3749
Fax: (224) 610-2909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1528070463 |
|---|---|
| LBN Legal business name | Fredrickson, Leanne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 8th, 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.
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