Osorio, Fredrick V

Osorio, Fredrick V is an individual health care provider with primary practice located at 301 S Power Rd Ste 103 , Mesa AZ 85206-5243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Osorio, Fredrick V can be contacted via phone (480) 325-7535.

Contact Information

Primary practice address
301 S Power Rd Ste 103 Mesa AZ 85206-5243
Fax: (480) 325-7462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 24517 Arizona

Profile Details

NPI number 1306830229
LBN Legal business name Osorio, Fredrick V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jun 19th, 2012 - about 12 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 1306830229 NPPES
Arizona MEDICAID 380840
Arizona MEDICAID 7712630

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