Fridley, Jared

Fridley, Jared is an individual health care provider with primary practice located at Provider Enrollment Department 117 Ellenfield Street, Suite 101, Providence RI 02905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Fridley, Jared can be contacted via phone (401) 793-9197.

Contact Information

Primary practice address
Provider Enrollment Department 117 Ellenfield Street, Suite 101 Providence RI 02905
Phone: (401) 793-9197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD15268 Rhode Island

Profile Details

NPI number 1669703633
LBN Legal business name Fridley, Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2010
Last updated Nov 25th, 2022 - about 4 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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