Fredericks, Desiree
Fredericks, Desiree is an individual health care provider with primary practice located at 723 Martin Luther King Jr Way , Tacoma WA 98405-4139. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. Fredericks, Desiree can be contacted via phone (253) 383-4447.Contact Information
Primary practice address
723 Martin Luther King Jr Way
Tacoma WA 98405-4139
Phone: (253) 383-4447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | 952667855 | Washington |
Profile Details
| NPI number | 1700365152 |
|---|---|
| LBN Legal business name | Fredericks, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2018 |
| Last updated | Aug 7th, 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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