Fredrickson, Christine

Fredrickson, Christine is an individual health care provider with primary practice located at 3333 N Seminary St , Galesburg IL 61401-1251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fredrickson, Christine can be contacted via phone (309) 344-3161.

Contact Information

Primary practice address
3333 N Seminary St Galesburg IL 61401-1251
Phone: (309) 344-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1417967993
LBN Legal business name Fredrickson, Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1417967993 NPPES
Illinois Other 201141 PROVIDER NUMBER

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