Fredrickson, Harold W

Fredrickson, Harold W is an individual health care provider with primary practice located at 2621 E Clairemont Ave , Eau Claire WI 54701-6726. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Fredrickson, Harold W can be contacted via phone (715) 834-7111.

Contact Information

Primary practice address
2621 E Clairemont Ave Eau Claire WI 54701-6726
Phone: (715) 834-7111
Fax: (715) 834-7112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 601 Wisconsin

Profile Details

NPI number 1063628147
LBN Legal business name Fredrickson, Harold W
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063628147 NPPES
Wisconsin MEDICAID 42818300

Popular Providers