Jackson, Fredric Neven
Jackson, Fredric Neven is an sole proprietor health care provider with primary practice located at 16259 Sylvester Rd Sw Ste 404, Burien WA 98166-3049. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jackson, Fredric Neven can be contacted via phone (206) 241-1818.Contact Information
Primary practice address
16259 Sylvester Rd Sw Ste 404
Burien WA 98166-3049
Phone: (206) 241-1818
Fax: (206) 244-3991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00019031 | Washington |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD00019031 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00019031 | Washington |
Profile Details
| NPI number | 1285627547 |
|---|---|
| LBN Legal business name | Jackson, Fredric Neven |
| Credentials | MD PS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | May 12th, 2014 - about 10 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 | 1285627547 | NPPES |
| Washington | Other | 110046684 | RR MEDICARE |
| Washington | MEDICAID | 1783901 | RR MEDICARE |
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