Caballes, Frederick Ryan Locso

Caballes, Frederick Ryan Locso is an sole proprietor health care provider with primary practice located at 720 Governor Morrison St Suite 217, Charlotte NC 28211-3879. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Caballes, Frederick Ryan Locso can be contacted via phone (704) 243-8346.

Contact Information

Primary practice address
720 Governor Morrison St Suite 217 Charlotte NC 28211-3879
Phone: (704) 243-8346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010-01344 North Carolina

Profile Details

NPI number 1225220262
LBN Legal business name Caballes, Frederick Ryan Locso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2007
Last updated Jan 13th, 2012 - about 13 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 1225220262 NPPES
North Carolina MEDICAID 5918645
North Carolina MEDICAID NC1480

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