Drake, Fred Duane

Drake, Fred Duane is an individual health care provider with primary practice located at 1429 N 6Th St , Terre Haute IN 47807-1037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Drake, Fred Duane can be contacted via phone (812) 242-3170.

Contact Information

Primary practice address
1429 N 6Th St Terre Haute IN 47807-1037
Phone: (812) 242-3170
Fax: (812) 235-3330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01024937A Indiana

Profile Details

NPI number 1124135967
LBN Legal business name Drake, Fred Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 14th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124135967 NPPES
Other 0182870 US DEPT OF LABOR
MEDICAID 100250540 US DEPT OF LABOR
Other 000000089620 US DEPT OF LABOR
Other 040004682 US DEPT OF LABOR

Popular Providers