Frey, Jamie Lynn

Frey, Jamie Lynn is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 115, Peoria IL 61614-5098. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Frey, Jamie Lynn can be contacted via phone (309) 691-2903.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 115 Peoria IL 61614-5098
Phone: (309) 691-2903
Fax: (309) 691-2909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036124992 Illinois

Profile Details

NPI number 1639391006
LBN Legal business name Frey, Jamie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 15th, 2010 - about 16 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 1639391006 NPPES
Illinois MEDICAID 036124992

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