Frandsen, Brad R
Frandsen, Brad R is an individual health care provider with primary practice located at 463 Tremont St W Suite 200, Port Orchard WA 98366-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Frandsen, Brad R can be contacted via phone (360) 876-2434.Contact Information
Primary practice address
463 Tremont St W Suite 200
Port Orchard WA 98366-3743
Phone: (360) 876-2434
Fax: (360) 876-2696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00029864 | Washington |
Profile Details
| NPI number | 1700820966 |
|---|---|
| LBN Legal business name | Frandsen, Brad R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Aug 29th, 2024 - 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 | 1700820966 | NPPES |
| Other | 4117501 | AETNA | |
| Other | 8930727 | AETNA | |
| Other | 080035879 | AETNA | |
| MEDICAID | 7134620 | AETNA | |
| Other | FR6531 | AETNA | |
| Other | 30294 | AETNA | |
| MEDICAID | 8142226 | AETNA |
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