Fredrickson Chiropractic Clinic Ps

LBN: Fredrickson Chiropractic Clinic Ps
Fredrickson Chiropractic Clinic Ps is an health care organization with primary practice located at 355 W 3Rd St , Kettle Falls WA 99141. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Fredrickson Chiropractic Clinic Ps can be contacted via phone (509) 738-2386, or through Fredrickson, Ronald J via phone (509) 738-2069.

Contact Information

Primary practice address
355 W 3Rd St Kettle Falls WA 99141
Phone: (509) 738-2386
Fax: (509) 738-2386
Website:
Map and Directions
Authorized official contact:
Name: Fredrickson, Ronald J Doctor of Chiropractic (DC)
Phone: (509) 738-2069

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00001742 Washington

Profile Details

NPI number 1902026248
LBN Legal business name Fredrickson Chiropractic Clinic Ps
DBA Doing business as
Authorized official Fredrickson, Ronald J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2007
Last updated Apr 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902026248 NPPES
Washington MEDICAID 2094902

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