Frizelle, Michael K
Frizelle, Michael K is an individual health care provider with primary practice located at 77 Wainwright Dr Va Medical Center Jonathan M Wainwright Memorial, Walla Walla WA 99362-9814. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Frizelle, Michael K can be contacted via phone (503) 440-3578.Contact Information
Primary practice address
77 Wainwright Dr Va Medical Center Jonathan M Wainwright Memorial
Walla Walla WA 99362-9814
Phone: (503) 440-3578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2962202 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 60101140 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 737610 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200843205RN | Oregon |
Profile Details
| NPI number | 1699931493 |
|---|---|
| LBN Legal business name | Frizelle, Michael K |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Oct 21st, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699931493 | NPPES |
| Washington | Other | 60101140 | VETERAN ADMIN |
| Washington | Other | 737610 | VETERAN ADMIN |
| Washington | Other | 2962202 | VETERAN ADMIN |
| Washington | Other | 200843205RN | VETERAN ADMIN |
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