Valentine, Frederick R

Valentine, Frederick R is an sole proprietor health care provider with primary practice located at 1044 G A R Hwy , Swansea MA 02777-4501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Valentine, Frederick R can be contacted via phone (508) 675-7725.

Contact Information

Primary practice address
1044 G A R Hwy Swansea MA 02777-4501
Fax: (508) 676-3079
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2613 Massachusetts

Profile Details

NPI number 1891747705
LBN Legal business name Valentine, Frederick R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Oct 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891747705 NPPES
Massachusetts MEDICAID 0333158
Massachusetts Other 2200563
Massachusetts Other 151600

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