Watson, Fredrick Edward
Watson, Fredrick Edward is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559-0528. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Watson, Fredrick Edward can be contacted via phone (907) 543-6100.Contact Information
Primary practice address
829 Chief Eddie Hoffman Hwy Suite 150
Bethel AK 99559-0528
Phone: (907) 543-6100
Fax: (907) 543-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Emergency Medical Service Providers / Emergency Medical Technician, Intermediate | 146M00000X | 10035002 | Alaska |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1770996365 |
|---|---|
| LBN Legal business name | Watson, Fredrick Edward |
| Credentials | EMT3 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2014 |
| Last updated | Mar 3rd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770996365 | NPPES |
| Alaska | MEDICAID | 1020986 |
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