Frey, Charles
Frey, Charles is an individual health care provider with primary practice located at 698 Featherstone Rd , Rockford IL 61107-6303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Frey, Charles can be contacted via phone (815) 398-3277.Contact Information
Primary practice address
698 Featherstone Rd
Rockford IL 61107-6303
Phone: (815) 398-3277
Fax: (815) 484-7001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 036063367 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 036063367 | Illinois |
Profile Details
NPI number | 1356321244 |
---|---|
LBN Legal business name | Frey, Charles |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | Sep 21st, 2011 - about 14 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 | 1356321244 | NPPES |
Illinois | MEDICAID | 036063367 |
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