King, Dwight Frederick
King, Dwight Frederick is an sole proprietor health care provider with primary practice located at 3326 Georgia Ave Nw , Washington DC 20010-2562. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. King, Dwight Frederick can be contacted via phone (202) 722-0122.Contact Information
Primary practice address
3326 Georgia Ave Nw
Washington DC 20010-2562
Phone: (202) 722-0122
Fax: (202) 722-0123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4624 | South Dakota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 64172 | Tennessee |
Profile Details
| NPI number | 1679574313 |
|---|---|
| LBN Legal business name | King, Dwight Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jul 14th, 2022 - about 2 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 | 1679574313 | NPPES |
| South Dakota | MEDICAID | 6100620 | |
| South Dakota | MEDICAID | Q074866 |
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