Frederick, Heather Leigh

Frederick, Heather Leigh is an sole proprietor health care provider with primary practice located at 5310 Moss Oak Trl , Lake Park GA 31636-3300. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Frederick, Heather Leigh can be contacted via phone (217) 299-1074.

Contact Information

Primary practice address
5310 Moss Oak Trl Lake Park GA 31636-3300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1881175578
LBN Legal business name Frederick, Heather Leigh
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2018
Last updated Aug 22nd, 2018 - about 8 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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