Fredericksen, Brett William
Fredericksen, Brett William is an individual health care provider with primary practice located at 291 N Milwaukee St Ste A-3 , Boise ID 83704-9132. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fredericksen, Brett William can be contacted via phone (833) 776-2020.Contact Information
Primary practice address
291 N Milwaukee St Ste A-3
Boise ID 83704-9132
Phone: (833) 776-2020
Fax: (208) 297-5718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100533 | Idaho |
Profile Details
| NPI number | 1194392845 |
|---|---|
| LBN Legal business name | Fredericksen, Brett William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2021 |
| Last updated | Jun 9th, 2021 - about 5 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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