Knight, Fredrick Willius

Knight, Fredrick Willius is an individual health care provider with primary practice located at 2751 Albert L Bicknell Dr Suite 5-A, Shreveport LA 71103-3920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Knight, Fredrick Willius can be contacted via phone (318) 212-6688.

Contact Information

Primary practice address
2751 Albert L Bicknell Dr Suite 5-A Shreveport LA 71103-3920
Phone: (318) 212-6688
Fax: (318) 212-6682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD.015573 Louisiana

Profile Details

NPI number 1538209697
LBN Legal business name Knight, Fredrick Willius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jun 24th, 2021 - about 3 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 1538209697 NPPES
Louisiana MEDICAID 1908649

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