Summerfelt, Fred

Summerfelt, Fred is an sole proprietor health care provider with primary practice located at 997 E Sterling Ln , Flagstaff AZ 86001-6572. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Summerfelt, Fred can be contacted via phone (928) 779-3623.

Contact Information

Primary practice address
997 E Sterling Ln Flagstaff AZ 86001-6572
Phone: (928) 779-3623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H4342 Arizona

Profile Details

NPI number 1043479108
LBN Legal business name Summerfelt, Fred
Credentials RDH AP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2008
Last updated Jun 4th, 2008 - about 16 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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