Park, Frederick
Park, Frederick is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 500, Renton WA 98055-5773. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Park, Frederick can be contacted via phone (425) 251-5110.Contact Information
Primary practice address
4011 Talbot Rd S Ste 500
Renton WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-7380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 60653608 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A106773 | California |
Profile Details
| NPI number | 1013113208 |
|---|---|
| LBN Legal business name | Park, Frederick |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Nov 14th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013113208 | NPPES |
| Washington | MEDICAID | 2061516 |
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