Dr. Scott A Fretzin
Dermatologist
7910 N Shadeland Ave
Indianapolis
, Indiana 46250-2041
Dr. Scott A Fretzin
Dermatologist
7910 N Shadeland Ave
Indianapolis
, Indiana 46250-2041
(317) 516-5146
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Scott A Fretzin
- 7910 N Shadeland Ave
- Indianapolis, IN
- Zip : 46250-2041
- Fax : (317) 516-5146
- Phone : (317) 516-5000
Second Address
- Dr. Scott A Fretzin
- 7910 N Shadeland Ave
- Indianapolis, IN
- Zip : 46250-2041
- Fax : (317) 516-5146
- Phone : (317) 516-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 01044060B | IN |
National Provider Identifier
| NPI | 1023011244 |
|---|---|
| Provider Name | Dr. Scott A Fretzin |
| First Address | Indianapolis, IN 46250-2041 |
| Second Address | Indianapolis, IN 46250-2041 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 05/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G49813 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.