Fredericks, Ryan Michael
Fredericks, Ryan Michael is an individual health care provider with primary practice located at 747 Broadway , Seattle WA 98122-4379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Fredericks, Ryan Michael can be contacted via phone (206) 215-2700.Contact Information
Primary practice address
747 Broadway
Seattle WA 98122-4379
Phone: (206) 215-2700
Fax: (206) 215-2702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD61449691 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD61449691 | Washington |
Profile Details
| NPI number | 1942612510 |
|---|---|
| LBN Legal business name | Fredericks, Ryan Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2014 |
| Last updated | Oct 5th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942612510 | NPPES |
| Washington | MEDICAID | 2260168 |
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