Parker, A Frederick
Parker, A Frederick is an individual health care provider with primary practice located at 1225 N State St Wound Care Center, Jackson MS 39202-2064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Parker, A Frederick can be contacted via phone (601) 944-1717.Contact Information
Primary practice address
1225 N State St Wound Care Center
Jackson MS 39202-2064
Phone: (601) 944-1717
Fax: (601) 944-9780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 06450 | Mississippi |
Profile Details
| NPI number | 1750454864 |
|---|---|
| LBN Legal business name | Parker, A Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jan 30th, 2014 - about 11 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 | 1750454864 | NPPES |
| Mississippi | MEDICAID | 00015573 |
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