Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | #4059 | TN |
Y | 213EG0000X | General Practice | #4059 | TN |
NPI | 1003897190 |
---|---|
Provider Name | Dr. Daniel Frank Frederick |
First Address | Columbia, TN 38401-4825 |
Second Address | Columbia, TN 38401-4825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10050 | CIGNA ( RUBY TUESDAY) (01) | |
47009 | AMERITUS (01) | |
52133 | UNITED HEALTH CARE (01) | |
58066 | AFLAC (01) | |
60054 | AETNA (01) | |
61271 | PRINCIPAL (01) | |
62308 | CIGNA (01) | |
65978 | MET LIFE (01) | |
67814 | GE FINANCIAL (01) | |
70408 | FORTIS (01) | |
80705 | GREAT WEST (01) | |
84056 | DELTA COLORADO (01) | |
87726 | CIGNA (CRACKER BARREL) (01) | |
94276 | DELTA GEORGIA (01) | |
CBTN1 | BCBS TENNESSEE (01) | |
CDAR1 | DELTA ARKANSAS (01) | |
CDMIO | DELTA MICHIGAN (01) | |
CDMN1 | DELTA MINNESOTA (01) | |
CDTN1 | DELTA TENNESSEE (01) |