Fredericksen, Alan

Fredericksen, Alan is an individual health care provider with primary practice located at 1221 Pierce St , Sioux City IA 51105-1418. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fredericksen, Alan can be contacted via phone (712) 255-0204.

Contact Information

Primary practice address
1221 Pierce St Sioux City IA 51105-1418
Phone: (712) 255-0204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14019 Iowa

Profile Details

NPI number 1184035461
LBN Legal business name Fredericksen, Alan
Credentials M.A., CADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2014
Last updated May 8th, 2014 - about 12 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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