Mcdermott, Frederic Thomas

Mcdermott, Frederic Thomas is an individual health care provider with primary practice located at 751 Liberty St , Meadville PA 16335-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mcdermott, Frederic Thomas can be contacted via phone (814) 333-5145.

Contact Information

Primary practice address
751 Liberty St Meadville PA 16335-2559
Phone: (814) 333-5145
Fax: (814) 333-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD049636L Pennsylvania

Profile Details

NPI number 1558311183
LBN Legal business name Mcdermott, Frederic Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 4th, 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 1558311183 NPPES
Pennsylvania Other 747484 BLUE SHIELD
Pennsylvania MEDICAID 0014141000004 BLUE SHIELD
Pennsylvania Other 0656922000 BLUE SHIELD
Pennsylvania Other 219928 BLUE SHIELD

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