Frederick, Keith J.
Frederick, Keith J. is an individual health care provider with primary practice located at 1050 W 10Th St , Rolla MO 65401-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Frederick, Keith J. can be contacted via phone (573) 364-5633.Contact Information
Primary practice address
1050 W 10Th St
Rolla MO 65401-2905
Phone: (573) 364-5633
Fax: (573) 426-5314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R4D88 | Missouri |
Profile Details
| NPI number | 1366552762 |
|---|---|
| LBN Legal business name | Frederick, Keith J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 22nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366552762 | NPPES |
| Missouri | MEDICAID | 242256303 |
Popular Providers
-
Potter, Michael Sterling
1050 W 10Th St , Rolla MO 65401 -
Boone, David W
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Ackerman, Timothy S
820 Sir Thomas Ct , Harrisburg PA 17109-4839 -
Satterly, Thomas Frederick
1050 W 10Th St , Rolla MO 65401-2905 -
Heincker, Alan D
1050 W 10Th St , Rolla MO 65401 -
Youlo, Sylvester T
1050 W 10Th St , Rolla MO 65401-2905 -
Park, Thomas M
3334 Capital Medical Blvd Ste. 400, Tallahassee FL 32308-8405 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405