Fredrick, Dawson Edward
Fredrick, Dawson Edward is an individual health care provider with primary practice located at 2601 1St Ave N Suite B, Escanaba MI 49829-1304. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fredrick, Dawson Edward can be contacted via phone (906) 233-9390.Contact Information
Primary practice address
2601 1St Ave N Suite B
Escanaba MI 49829-1304
Phone: (906) 233-9390
Fax: (906) 233-9398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008214 | Michigan |
Profile Details
| NPI number | 1932167426 |
|---|---|
| LBN Legal business name | Fredrick, Dawson Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 4th, 2012 - about 14 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 | 1932167426 | NPPES |
| Michigan | MEDICAID | 4247060 |
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