King, Dwight Frederick

King, Dwight Frederick is an sole proprietor health care provider with primary practice located at 3326 Georgia Ave Nw , Washington DC 20010-2562. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. King, Dwight Frederick can be contacted via phone (202) 722-0122.

Contact Information

Primary practice address
3326 Georgia Ave Nw Washington DC 20010-2562
Phone: (202) 722-0122
Fax: (202) 722-0123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4624 South Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 64172 Tennessee

Profile Details

NPI number 1679574313
LBN Legal business name King, Dwight Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Jul 14th, 2022 - about 4 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 1679574313 NPPES
South Dakota MEDICAID 6100620
South Dakota MEDICAID Q074866

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