Fred2, Nathan

Fred2, Nathan is an individual health care provider with primary practice located at 902 W Main St , West Frankfort IL 62896-2210. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Fred2, Nathan can be contacted via phone (618) 937-6483.

Contact Information

Primary practice address
902 W Main St West Frankfort IL 62896-2210
Phone: (618) 937-6483
Fax: (618) 937-1440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1588032221
LBN Legal business name Fred2, Nathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2015
Last updated Sep 11th, 2015 - about 11 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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