Frick, Gary William
Frick, Gary William is an sole proprietor health care provider with primary practice located at 790 Dunlawton Avenue Suite J, Port Orange FL 32127-4222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Frick, Gary William can be contacted via phone (386) 767-8584.Contact Information
Primary practice address
790 Dunlawton Avenue Suite J
Port Orange FL 32127-4222
Phone: (386) 767-8584
Fax: (386) 767-8536
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME73316 | Florida |
Profile Details
NPI number | 1962548552 |
---|---|
LBN Legal business name | Frick, Gary William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2007 |
Last updated | Feb 10th, 2014 - about 10 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 | 1962548552 | NPPES |
Florida | MEDICAID | 252667100 |
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