Frick, William Hans

Frick, William Hans is an sole proprietor health care provider with primary practice located at 263 Farmington Ave Provider Enrollment, Farmington CT 06030-2212. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Frick, William Hans can be contacted via phone (860) 679-7503.

Contact Information

Primary practice address
263 Farmington Ave Provider Enrollment Farmington CT 06030-2212
Phone: (860) 679-7503
Fax: (860) 679-1610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000179 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 000179 Connecticut

Profile Details

NPI number 1205843273
LBN Legal business name Frick, William Hans
Credentials CRNA/APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205843273 NPPES
Connecticut MEDICAID 004269800

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