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
Phone: (602) 263-1511
Fax: (602) 263-1637
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770677106 | NPPES |
| Arizona | Other | AZ0721640 | PROVIDER IDENTIFICATION |
| Arizona | MEDICAID | 640997 | PROVIDER IDENTIFICATION |
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