Fricker, Edward John
Fricker, Edward John is an individual health care provider with primary practice located at 3207 Country Club Dr , Valdosta GA 31605-1029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fricker, Edward John can be contacted via phone (229) 242-8480.Contact Information
Primary practice address
3207 Country Club Dr
Valdosta GA 31605-1029
Phone: (229) 242-8480
Fax: (229) 247-7539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 038487 | Georgia |
Profile Details
| NPI number | 1316933823 |
|---|---|
| LBN Legal business name | Fricker, Edward John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316933823 | NPPES |
| Georgia | MEDICAID | 00610915A |
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