Fredericksen, Justin William

Fredericksen, Justin William is an individual health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Licensed Psychiatric Technician is his primary health care specialty. Fredericksen, Justin William can be contacted via phone (707) 268-2994.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501-4413
Phone: (707) 268-2994
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN15722 Nevada
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X

Profile Details

NPI number 1982082400
LBN Legal business name Fredericksen, Justin William
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2015
Last updated May 2nd, 2021 - about 3 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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