Fredrickson, Amy D

Fredrickson, Amy D is an sole proprietor health care provider with primary practice located at 1208 S 216Th St Apt 103D, Des Moines WA 98198-8363. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Fredrickson, Amy D can be contacted via phone (907) 738-2116.

Contact Information

Primary practice address
1208 S 216Th St Apt 103D Des Moines WA 98198-8363
Phone: (907) 738-2116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA60722244 Washington

Profile Details

NPI number 1528507357
LBN Legal business name Fredrickson, Amy D
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2017
Last updated Feb 13th, 2017 - about 8 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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