Froedge, Jerry K
Froedge, Jerry K is an individual health care provider with primary practice located at 240 18Th Street Cir Se , Hickory NC 28602-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Froedge, Jerry K can be contacted via phone (828) 322-2550.Contact Information
Primary practice address
240 18Th Street Cir Se
Hickory NC 28602-1361
Phone: (828) 322-2550
Fax: (828) 322-7748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19598 | North Carolina |
Profile Details
| NPI number | 1689652927 |
|---|---|
| LBN Legal business name | Froedge, Jerry K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | May 25th, 2011 - about 15 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 | 1689652927 | NPPES |
| North Carolina | Other | 19598 | NC MEDICAL LICENSE |
| North Carolina | MEDICAID | 8934035 | NC MEDICAL LICENSE |
| North Carolina | Other | 34035 | NC MEDICAL LICENSE |
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