Fredstrom, O'Ann Karin
Fredstrom, O'Ann Karin is an sole proprietor health care provider with primary practice located at 610 West Broadway Suite L02, Jackson WY 83001. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fredstrom, O'Ann Karin can be contacted via phone (307) 734-8800.Contact Information
Primary practice address
610 West Broadway Suite L02
Jackson WY 83001
Phone: (307) 734-8800
Fax: (307) 734-8900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5032A | Wyoming |
Profile Details
| NPI number | 1225108657 |
|---|---|
| LBN Legal business name | Fredstrom, O'Ann Karin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225108657 | NPPES |
| Wyoming | MEDICAID | 113880400 |
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