Krell, Frederic
Krell, Frederic is an individual health care provider with primary practice located at 1 Salem Grn , Salem MA 01970-3724. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Krell, Frederic can be contacted via phone (978) 740-3100.Contact Information
Primary practice address
1 Salem Grn
Salem MA 01970-3724
Phone: (978) 740-3100
Fax: (978) 740-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 762 | Massachusetts |
Profile Details
| NPI number | 1124189105 |
|---|---|
| LBN Legal business name | Krell, Frederic |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1124189105 | NPPES |
| Massachusetts | Other | 104133 | MERIT BEHAVIORAL |
| Massachusetts | Other | 95907 | MERIT BEHAVIORAL |
| Massachusetts | Other | IP098621 | MERIT BEHAVIORAL |
| Massachusetts | Other | W10327 | MERIT BEHAVIORAL |
| Massachusetts | Other | KRW01832 | MERIT BEHAVIORAL |
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