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Contact Information

JOHN T FREDERICK, MD
1200 5TH AVE STE 2010
SEATTLE, WA98101-3100
 Phone: 206-778-5584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHN T FREDERICK · (Male)

NPI # 1790828911
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2007
Last updated 02/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00036632
  • WA Medicaid 8286858
  • WA Other 8883129 MEDICARE - SNO CO
  • WA Other US7536792 VM AETNA PCP PIN
  • WA Other 3015FR VM BLUE SHIELD #
  • WA Other 0163635 VM LABOR AND INDUSTRIES #
  • WA Other P00444827 VM RAILROAD MC #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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