Frostad, Michael J

Frostad, Michael J is an individual health care provider with primary practice located at 1205 Se Professional Mall Blvd Suite104, Pullman WA 99163-5423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Frostad, Michael J can be contacted via phone (509) 332-2605.

Contact Information

Primary practice address
1205 Se Professional Mall Blvd Suite104 Pullman WA 99163-5423
Phone: (509) 332-2605
Fax: (509) 334-5754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00039818 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-8243 Idaho

Profile Details

NPI number 1649253840
LBN Legal business name Frostad, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 13th, 2011 - about 14 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 1649253840 NPPES
Washington MEDICAID 8275828

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