Fricker, John Wayne

Fricker, John Wayne is an sole proprietor health care provider with primary practice located at 110 Diagnostic Dr Ste A , Frankfort KY 40601-6557. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Fricker, John Wayne can be contacted via phone (502) 219-7937.

Contact Information

Primary practice address
110 Diagnostic Dr Ste A Frankfort KY 40601-6557
Phone: (502) 219-7937
Fax: (502) 219-7948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 246 Kentucky
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00246 Kentucky
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 244150 Kentucky

Profile Details

NPI number 1346358843
LBN Legal business name Fricker, John Wayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2006
Last updated Nov 11th, 2023 - about last year

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 1346358843 NPPES
Kentucky Other 000000184063 ANTHEM
Kentucky Other P00071331 ANTHEM
Kentucky MEDICAID 80002462 ANTHEM

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