Picklesimer, Fred L.

Picklesimer, Fred L. is an individual health care provider with primary practice located at 706 Green Valley Rd Ste 104 , Greensboro NC 27408-7043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Picklesimer, Fred L. can be contacted via phone (336) 387-2500.

Contact Information

Primary practice address
706 Green Valley Rd Ste 104 Greensboro NC 27408-7043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 37331 Kentucky

Profile Details

NPI number 1699774992
LBN Legal business name Picklesimer, Fred L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 17th, 2023 - about last year

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 1699774992 NPPES
Kentucky MEDICAID 64052657

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