Frese, John
Frese, John is an individual health care provider with primary practice located at 234A Bank St 4Th Floor, New London CT 06320-6054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Frese, John can be contacted via phone (860) 442-0290.Contact Information
Primary practice address
234A Bank St 4Th Floor
New London CT 06320-6054
Phone: (860) 442-0290
Fax: (860) 442-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 031797 | Connecticut |
Profile Details
| NPI number | 1457316382 |
|---|---|
| LBN Legal business name | Frese, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Dec 19th, 2012 - about 12 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 | 1457316382 | NPPES |
| Connecticut | MEDICAID | 1317975 | |
| Connecticut | Other | 010031797CT01 |
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