Watson, Fredrick Edward

Watson, Fredrick Edward is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559-0528. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Watson, Fredrick Edward can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Suite 150 Bethel AK 99559-0528
Phone: (907) 543-6100
Fax: (907) 543-6159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 10035002 Alaska
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1770996365
LBN Legal business name Watson, Fredrick Edward
Credentials EMT3
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2014
Last updated Mar 3rd, 2017 - about 7 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 1770996365 NPPES
Alaska MEDICAID 1020986

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