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Contact Information

JONATHAN FREDERICK, MD
398 ASHE BLVD
SHEFFIELD, AL35660-1729
 Phone: 256-383-1499
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for JONATHAN FREDERICK · (Male)

NPI # 1346397239
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 11/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AL License # AL28212
  • AL License # AL5271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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