Blue, Jr, John Fredrick

Blue, Jr, John Fredrick is an individual health care provider with primary practice located at 500 Morven Rd , Wadesboro NC 28170-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blue, Jr, John Fredrick can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
500 Morven Rd Wadesboro NC 28170-2745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23831 North Carolina

Profile Details

NPI number 1881657823
LBN Legal business name Blue, Jr, John Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1881657823 NPPES
North Carolina MEDICAID 89131HT

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