Will, Frederic B
Will, Frederic B is an individual health care provider with primary practice located at 100 Deputy Dean Miera Dr Sw , Albuquerque NM 87151-1504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Will, Frederic B can be contacted via phone (505) 839-8700.Contact Information
Primary practice address
100 Deputy Dean Miera Dr Sw
Albuquerque NM 87151-1504
Phone: (505) 839-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | AW1297894 XW1297894 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25744-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD2023-1273 | New Mexico |
Profile Details
| NPI number | 1811055940 |
|---|---|
| LBN Legal business name | Will, Frederic B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Feb 28th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811055940 | NPPES |
| Wisconsin | MEDICAID | 30531900 |
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