Fredericks, Michael Roy

Fredericks, Michael Roy is an individual health care provider with primary practice located at 1040 Main St , Danville VA 24541-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fredericks, Michael Roy can be contacted via phone (434) 792-1433.

Contact Information

Primary practice address
1040 Main St Danville VA 24541-1816
Phone: (434) 792-1433
Fax: (434) 797-2807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101233036 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 200300471 North Carolina

Profile Details

NPI number 1699730341
LBN Legal business name Fredericks, Michael Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699730341 NPPES
Other 7433254 CIGNA
Other 384373 CIGNA
MEDICAID 89065HO CIGNA
MEDICAID 010131669 CIGNA
Other 171782 CIGNA

Popular Providers