Timothy Fredrickson in Rockford - Professional
Timothy Fredrickson - NPI 1922073642
Timothy Fredrickson is a Professional in Rockford, Illinois. Timothy Fredrickson practices all healthcare services and medical treatments related to Professional. The NPI Number for Timothy Fredrickson is 1922073642. The last update date is 2023-11-06.
Timothy Fredrickson's current location address is 1639 N Alpine Rd Ste 403, Rockford, Illinois. You can contact this provider via phone number 8152297102 and fax number 8152297108. The mailing address for Timothy Fredrickson is 1639 N Alpine Rd Ste 403, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Fredrickson |
|---|---|
| Address | 1639 N Alpine Rd Ste 403, Rockford, Illinois |
| Phone Number | 8152297102 |
| Fax Number | 8152297108 |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1922073642 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2023-11-06 |
Provider Mailing Address Detail
| Address | 1639 N Alpine Rd Ste 403 |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611071440 |
| Phone Number | 8152297102 |
| Fax Number | 8152297108 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180-001837 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Fredrickson by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Fredrickson has been assigned the NPI (National Provider Identifier) 1922073642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Timothy Fredrickson's facilities are geographically located?
The facilities of Timothy Fredrickson are physically situated at the following location: 1639 N Alpine Rd Ste 403, Rockford, IL, 611071440.
What is the Timothy Fredrickson's specialty and taxonomy code?
The Timothy Fredrickson's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922073642 to Timothy Fredrickson?
The Centers for Medicare & Medicaid Services originally issued the 1922073642 to Timothy Fredrickson on 2006-02-17.
When was the information regarding Timothy Fredrickson most recently updated?
The details pertaining to the Timothy Fredrickson, including its address, specialty, and other relevant information, were last refreshed on 2023-11-06.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN