Friel, Freddie

Friel, Freddie is an individual health care provider with primary practice located at 301 W Myrtle St , Boise ID 83702-7656. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Friel, Freddie can be contacted via phone (208) 342-8200.

Contact Information

Primary practice address
301 W Myrtle St Boise ID 83702-7656
Phone: (208) 342-8200
Fax: (208) 342-8202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA157 Idaho

Profile Details

NPI number 1730131178
LBN Legal business name Friel, Freddie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 8th, 2011 - about 14 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 1730131178 NPPES
Idaho MEDICAID 804251900

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