J Brian Frederick, M.D., Pllc

LBN: J Brian Frederick, M.D., Pllc
J Brian Frederick, M.D., Pllc is an health care organization with primary practice located at 617 23Rd St Ste 415 , Ashland KY 41101-2845. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. J Brian Frederick, M.D., Pllc can be contacted via phone (606) 325-6888, or through Frederick, James Brian via phone (606) 325-6888.

Contact Information

Primary practice address
617 23Rd St Ste 415 Ashland KY 41101-2845
Phone: (606) 325-6888
Fax: (606) 326-9368
Website:
Map and Directions
Authorized official contact:
Name: Frederick, James Brian
Phone: (606) 325-6888

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39332 Kentucky

Profile Details

NPI number 1437356532
LBN Legal business name J Brian Frederick, M.D., Pllc
DBA Doing business as
Authorized official Frederick, James Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Mar 12th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437356532 NPPES
Kentucky MEDICAID 64103179

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