Fromdahl, Jeffrey

Fromdahl, Jeffrey is an individual health care provider with primary practice located at 1219 West Spring Street , Monroe GA 30655. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fromdahl, Jeffrey can be contacted via phone (770) 207-6624.

Contact Information

Primary practice address
1219 West Spring Street Monroe GA 30655
Phone: (770) 207-6624
Fax: (770) 207-6631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4137 South Carolina

Profile Details

NPI number 1760414031
LBN Legal business name Fromdahl, Jeffrey
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 27th, 2010 - about 15 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 1760414031 NPPES
South Carolina Other 187186 MEDCOST PROVIDER NUMBER
South Carolina Other P00163187 MEDCOST PROVIDER NUMBER

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