Frederickson, Ryan
Frederickson, Ryan is an sole proprietor health care provider with primary practice located at 3004 28Th St Sw , Grandville MI 49418-2704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Frederickson, Ryan can be contacted via phone (616) 534-5602.Contact Information
Primary practice address
3004 28Th St Sw
Grandville MI 49418-2704
Phone: (616) 534-5602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901020396 | Michigan |
Profile Details
| NPI number | 1528351608 |
|---|---|
| LBN Legal business name | Frederickson, Ryan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2011 |
| Last updated | May 23rd, 2011 - about 15 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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