Shorter, Fred
Shorter, Fred is an individual health care provider with primary practice located at 20100 W Mcnichols Rd , Detroit MI 48219-3374. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shorter, Fred can be contacted via phone (313) 255-2150.Contact Information
Primary practice address
20100 W Mcnichols Rd
Detroit MI 48219-3374
Phone: (313) 255-2150
Fax: (313) 255-6152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901010185 | Michigan |
Profile Details
| NPI number | 1669477154 |
|---|---|
| LBN Legal business name | Shorter, Fred |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669477154 | NPPES |
| Michigan | MEDICAID | 4199929 |
Popular Providers
-
Thompson, Tamika Nicole
2671 W Grand Blvd , Detroit MI 48208-1203 -
Macafee, Ronald Jimmy
18255 W Mcnichols Rd , Detroit MI 48219-4111 -
Agyekum, Paul A
13800 Livernois Ave , Detroit MI 48238-4510 -
Azzouz, Abraham Lawrence
24366 Grand River Ave Suite 111, Detroit MI 48219-3063 -
Baum, Barry
15601 Grand River Ave , Detroit MI 48227-2281 -
Kothari, Nalin
15601 Grand River Ave , Detroit MI 48227-2281 -
Senior, Duane Anthony
15101 Plymouth Rd , Detroit MI 48227-2482 -
Bedell, Shadows Oye
19600 Van Dyke Street , Detroit MI 48234-3328