List, Frederick P
List, Frederick P is an individual health care provider with primary practice located at 200 Patewood Dr Suite A200, Greenville SC 29615-3593. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. List, Frederick P can be contacted via phone (864) 454-5115.Contact Information
Primary practice address
200 Patewood Dr Suite A200
Greenville SC 29615-3593
Phone: (864) 454-5115
Fax: (864) 454-5146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1086 | South Carolina |
Profile Details
| NPI number | 1740396886 |
|---|---|
| LBN Legal business name | List, Frederick P |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Feb 28th, 2018 - about 6 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 | 1740396886 | NPPES |
| North Carolina | Other | 1305N | BLUE CROSS/BLUE SHIELD |
| North Carolina | MEDICAID | 60-00266 | BLUE CROSS/BLUE SHIELD |
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