Fredrickson, Timothy

Fredrickson, Timothy is an sole proprietor health care provider with primary practice located at 1639 N Alpine Rd Ste 403 , Rockford IL 61107-1440. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fredrickson, Timothy can be contacted via phone (815) 229-7102.

Contact Information

Primary practice address
1639 N Alpine Rd Ste 403 Rockford IL 61107-1440
Phone: (815) 229-7102
Fax: (815) 229-7108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-001837 Illinois

Profile Details

NPI number 1922073642
LBN Legal business name Fredrickson, Timothy
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Nov 6th, 2023 - 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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