Provider Demographics
NPI:1386632248
Name:ALBRINK, FREDERICK H (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:H
Last Name:ALBRINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3706
Mailing Address - Country:US
Mailing Address - Phone:812-285-6000
Mailing Address - Fax:812-285-6010
Practice Address - Street 1:1322 SPRING ST
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3706
Practice Address - Country:US
Practice Address - Phone:812-285-6000
Practice Address - Fax:812-285-6010
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037027A2085R0001X
KY258602085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64878333Medicaid
INP00204016OtherRR MCR
IN200427190Medicaid
IN200427190Medicaid
INP00204016OtherRR MCR
KY64878333Medicaid