Fredrickson, Robert Herbert

Fredrickson, Robert Herbert is an individual health care provider with primary practice located at 1124 Market St , Williamsport PA 17701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fredrickson, Robert Herbert can be contacted via phone (570) 326-6170.

Contact Information

Primary practice address
1124 Market St Williamsport PA 17701
Phone: (570) 326-6170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS017415L Pennsylvania

Profile Details

NPI number 1508907809
LBN Legal business name Fredrickson, Robert Herbert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 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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