Fricks, Carl Ellison
Fricks, Carl Ellison is an sole proprietor health care provider with primary practice located at 9850 Genesee Ave Suite 780, La Jolla CA 92037-1224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Fricks, Carl Ellison can be contacted via phone (858) 625-7200.Contact Information
Primary practice address
9850 Genesee Ave Suite 780
La Jolla CA 92037-1224
Phone: (858) 625-7200
Fax: (858) 625-8363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G69384 | California |
Profile Details
| NPI number | 1295823680 |
|---|---|
| LBN Legal business name | Fricks, Carl Ellison |
| Credentials | M.D., PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1295823680 | NPPES |
| California | MEDICAID | 00G693841 |
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