Fritchley, Rodney Brent

Fritchley, Rodney Brent is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fritchley, Rodney Brent can be contacted via phone (602) 263-1511.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Fax: (602) 263-1637
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD 019810E Pennsylvania

Profile Details

NPI number 1770677106
LBN Legal business name Fritchley, Rodney Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2007 - about 19 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 1770677106 NPPES
Arizona Other AZ0721640 PROVIDER IDENTIFICATION
Arizona MEDICAID 640997 PROVIDER IDENTIFICATION

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