Maue, Frederick Robert

Maue, Frederick Robert is an sole proprietor health care provider with primary practice located at 1083 Bloom Rd Ste 1 , Danville PA 17821-6789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Maue, Frederick Robert can be contacted via phone (570) 275-6080.

Contact Information

Primary practice address
1083 Bloom Rd Ste 1 Danville PA 17821-6789
Fax: (570) 275-6089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD025476E Pennsylvania

Profile Details

NPI number 1902889611
LBN Legal business name Maue, Frederick Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Sep 28th, 2018 - about 7 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 1902889611 NPPES
Pennsylvania MEDICAID 0008518450004

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