Fresonke, Jill K

Fresonke, Jill K is an sole proprietor health care provider with primary practice located at 3670 Stone Way N Ste N271 , Seattle WA 98103-8004. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Fresonke, Jill K can be contacted via phone (206) 834-4100.

Contact Information

Primary practice address
3670 Stone Way N Ste N271 Seattle WA 98103-8004
Fax: (206) 834-4131
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 818 Washington
Other Service Providers / Naturopath 175F00000X NT00000818 Washington

Profile Details

NPI number 1962545079
LBN Legal business name Fresonke, Jill K
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Mar 23rd, 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 1962545079 NPPES
Washington MEDICAID 2042382

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