Friedrick, Stephen Edmund

Friedrick, Stephen Edmund is an individual health care provider with primary practice located at 401 15Th Ave Se , Puyallup WA 98372-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Friedrick, Stephen Edmund can be contacted via phone (253) 697-4000.

Contact Information

Primary practice address
401 15Th Ave Se Puyallup WA 98372-3715
Phone: (253) 697-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00037567 Washington

Profile Details

NPI number 1205873205
LBN Legal business name Friedrick, Stephen Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 21st, 2020 - about 6 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 1205873205 NPPES
Washington Other FR2164 BSWA
Washington Other 0170834 BSWA
Washington Other FR2581 BSWA
Washington Other 0170822 BSWA
Washington MEDICAID 8244451 BSWA

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