Unverzagt, Frederick W

Unverzagt, Frederick W is an individual health care provider with primary practice located at 550 University Blvd # Uh3124 , Indianapolis IN 46202-5149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Unverzagt, Frederick W can be contacted via phone (317) 274-1250.

Contact Information

Primary practice address
550 University Blvd # Uh3124 Indianapolis IN 46202-5149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 20040645 Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040645A Indiana

Profile Details

NPI number 1154375814
LBN Legal business name Unverzagt, Frederick W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 23rd, 2020 - about 4 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 1154375814 NPPES
Indiana MEDICAID 100195770

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