Friderici, Joan Blum
Friderici, Joan Blum is an individual health care provider with primary practice located at 51600 Huntington Rd , La Pine OR 97739-8887. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Friderici, Joan Blum can be contacted via phone (541) 536-3435.Contact Information
Primary practice address
51600 Huntington Rd
La Pine OR 97739-8887
Phone: (541) 536-3435
Fax: (541) 536-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6136 | Alaska |
Profile Details
| NPI number | 1558699512 |
|---|---|
| LBN Legal business name | Friderici, Joan Blum |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2009 |
| Last updated | Mar 5th, 2020 - about 6 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 | 1558699512 | NPPES |
| Alaska | MEDICAID | MD9616 |
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