Fredeen, Grace

Fredeen, Grace is an individual health care provider with primary practice located at 600 Broadway Suite 190, Seattle WA 98122-5395. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as her primary health care specialty. Fredeen, Grace can be contacted via phone (206) 323-4040.

Contact Information

Primary practice address
600 Broadway Suite 190 Seattle WA 98122-5395
Fax: (206) 324-0943
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OI00000178 Washington

Profile Details

NPI number 1003008137
LBN Legal business name Fredeen, Grace
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Aug 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003008137 NPPES
Washington MEDICAID 9036963

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