Frick, Philip

Frick, Philip is an individual health care provider with primary practice located at 30 Main St , East Haven CT 06512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Frick, Philip can be contacted via phone (860) 961-0785.

Contact Information

Primary practice address
30 Main St East Haven CT 06512
Fax: (203) 891-5976
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2715 Connecticut

Profile Details

NPI number 1689627044
LBN Legal business name Frick, Philip
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 15th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689627044 NPPES
Connecticut MEDICAID 008013924

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