Fredericks, Erin J

Fredericks, Erin J is an individual health care provider with primary practice located at 505 Keller Ave S , Amery WI 54001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fredericks, Erin J can be contacted via phone (715) 268-6900.

Contact Information

Primary practice address
505 Keller Ave S Amery WI 54001
Phone: (715) 268-6900
Fax: (715) 268-6895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2700154 Wisconsin

Profile Details

NPI number 1114087822
LBN Legal business name Fredericks, Erin J
Credentials SLP MSE CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1114087822 NPPES
Wisconsin MEDICAID 42581800
Wisconsin Other 4601079
Wisconsin Other HP69968
Wisconsin Other 00BL1PA

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