Frialde, Jose R
Frialde, Jose R is an sole proprietor health care provider with primary practice located at 1 Spring Back Way , Anderson SC 29621-2676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Frialde, Jose R can be contacted via phone (864) 716-2647.Contact Information
Primary practice address
1 Spring Back Way
Anderson SC 29621-2676
Phone: (864) 716-2647
Fax: (864) 332-8269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26899 | South Carolina |
Profile Details
| NPI number | 1265482269 |
|---|---|
| LBN Legal business name | Frialde, Jose R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 9th, 2024 - about 5 months 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 | 1265482269 | NPPES |
| South Carolina | MEDICAID | G96592 | |
| South Carolina | MEDICAID | GP4342 |
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