Paul Frederick in South Haven - Physical Therapy
Paul Frederick - NPI 1790881290
Paul Frederick is a Physical Therapy in South Haven, Michigan. Paul Frederick practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Paul Frederick is 1790881290. The last update date is 2008-03-20.
Paul Frederick's current location address is 02957 73rd St, South Haven, Michigan. You can contact this provider via phone number 2696379099 and fax number 2696379224. The mailing address for Paul Frederick is 02957 73rd St, South Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Frederick |
|---|---|
| Address | 02957 73rd St, South Haven, Michigan |
| Phone Number | 2696379099 |
| Fax Number | 2696379224 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790881290 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2008-03-20 |
Provider Mailing Address Detail
| Address | 02957 73rd St |
|---|---|
| City | South Haven |
| State | Michigan (MI) |
| Post Code | 490909364 |
| Phone Number | 2696379099 |
| Fax Number | 2696379224 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | M15501011004 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4800853 | MI | -- | |
| OHO1023 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Paul Frederick by the Centers for Medicare & Medicaid Services?
The Paul Frederick has been issued the NPI (National Provider Identifier) 1790881290. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Paul Frederick's physical address?
The Paul Frederick is physically located at 02957 73Rd St, in the city of South Haven, MI, with the postal code 490909364.
What is Paul Frederick's area of expertise and its corresponding taxonomy classification?
The Paul Frederick's field of specialization is Physical Therapy, and it falls under the taxonomy code 261Qp2000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1790881290 to Paul Frederick?
The Paul Frederick received its 1790881290 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information regarding Paul Frederick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Frederick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-20.
NPI Number: 1932102142
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