Frederick, John Thomas

Frederick, John Thomas is an sole proprietor health care provider with primary practice located at 1200 5Th Ave Ste 2010 , Seattle WA 98101-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Frederick, John Thomas can be contacted via phone (206) 778-5584.

Contact Information

Primary practice address
1200 5Th Ave Ste 2010 Seattle WA 98101-3100
Phone: (206) 778-5584
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD00036632 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00036632 Washington

Profile Details

NPI number 1790828911
LBN Legal business name Frederick, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Feb 20th, 2018 - about 6 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 1790828911 NPPES
Washington Other US7536792 VM AETNA PCP PIN
Washington Other 0163635 VM AETNA PCP PIN
Washington Other 3015FR VM AETNA PCP PIN
Washington MEDICAID 8286858 VM AETNA PCP PIN
Washington Other 8883129 VM AETNA PCP PIN
Washington Other P00444827 VM AETNA PCP PIN

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