Fredrickson, David Paul

Fredrickson, David Paul is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fredrickson, David Paul can be contacted via phone (641) 628-3832.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1189
Phone: (641) 628-3832
Fax: (641) 628-8894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32734 Iowa

Profile Details

NPI number 1891765913
LBN Legal business name Fredrickson, David Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 15th, 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 1891765913 NPPES
Iowa MEDICAID 2184218
Iowa MEDICAID 0184218

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