Chad Frederick

  • 1417362278 NPI Number
  • |
  • Actived: 5 years ago
  • |
According to our database, NPI number for Chad Frederick is 1417362278 and actived since Monday, June 30 2014. Chad Frederick is an individual provider specializes in Addiction (Substance Use Disorder), primary practice location is 617 S Trenton St, Ruston, LA 71270. You can also contact Chad Frederick via telephone number is (318) 251-4659. Provider NPI information was last updated on 06/30/2014.

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Overview of Chad Frederick

  • NPI number: 1083251888
  • Provider type: Individual
  • Specialty: Addiction (Substance Use Disorder)
  • Gender: Male
  • Active since: 06/30/2014
  • Last updated: 06/30/2014

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 3129
  • License State: LA

Provider Mailing Address

  • Address: 617 S Trenton St
    Ruston, LA 71270
  • Phone: 318-251-4659
  • Fax: 318-251-4659

Provider Practice Location

  • Address: 617 S Trenton St
    Ruston, LA 71270
  • Phone: 318-251-4659
  • Fax: 318-251-4659

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 3129
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1345897
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Chad Frederick?
  • A: The npi number for Chad Frederick is 1417362278.
  • Q: What are Chad Frederick's specialties?
  • A: Chad Frederick's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Chad Frederick?
  • A: The medical license number for Chad Frederick is 3129 and issued in LA in USA.
  • Q: Where is Chad Frederick practice location?
  • A: Chad Frederick is practicing at 617 S Trenton St, Ruston, LA 71270.
  • Q: How to contact Chad Frederick?
  • A: You can contact Chad Frederick via 318-251-4659.