Freda, Anthony William

Freda, Anthony William is an individual health care provider with primary practice located at 320 Keystone Ave , Peckville PA 18452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Freda, Anthony William can be contacted via phone (570) 489-0871.

Contact Information

Primary practice address
320 Keystone Ave Peckville PA 18452
Fax: (570) 489-8021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0S009349L Pennsylvania

Profile Details

NPI number 1598745499
LBN Legal business name Freda, Anthony William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 8th, 2011 - about 15 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 1598745499 NPPES
Pennsylvania MEDICAID 001740405

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