Fredrick, Robert S

Fredrick, Robert S is an individual health care provider with primary practice located at 2051 W Central Ave , Toledo OH 43606-3948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fredrick, Robert S can be contacted via phone (419) 291-2051.

Contact Information

Primary practice address
2051 W Central Ave Toledo OH 43606-3948
Phone: (419) 291-2051
Fax: (419) 479-6952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35055622 Ohio

Profile Details

NPI number 1215933114
LBN Legal business name Fredrick, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 16th, 2013 - about 13 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 1215933114 NPPES
Ohio Other 000000031391 ANTHEM-WWK
Ohio MEDICAID 0690435 ANTHEM-WWK
Ohio Other 344428256 ANTHEM-WWK
Ohio Other 000000185513 ANTHEM-WWK
Ohio Other 9352225002 ANTHEM-WWK
Ohio Other 01514 ANTHEM-WWK
Ohio Other 106250 ANTHEM-WWK
Ohio Other 4243601 ANTHEM-WWK
Ohio Other 30096 ANTHEM-WWK
Ohio MEDICAID 3221935 ANTHEM-WWK
Ohio Other 01-04057 ANTHEM-WWK
Ohio Other 01397 ANTHEM-WWK
Ohio MEDICAID 3424240 ANTHEM-WWK
Ohio Other 6893 ANTHEM-WWK

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