Friesen, Jerold N

Friesen, Jerold N is an individual health care provider with primary practice located at 125 E Maxwell St Ste 200, Lexington KY 40508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Friesen, Jerold N can be contacted via phone (859) 253-0124.

Contact Information

Primary practice address
125 E Maxwell St Ste 200 Lexington KY 40508
Phone: (859) 253-0124
Fax: (859) 231-8667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16784 Kentucky

Profile Details

NPI number 1063479384
LBN Legal business name Friesen, Jerold N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 5th, 2008 - about 16 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 1063479384 NPPES
Kentucky MEDICAID 64167844

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