ROBERT L FRERICHS MD PLLC NPI 1659551885

NPI Information

NPI: 1659551885
Provider Name: ROBERT L FRERICHS, MD PLLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
34612 6TH AVE S STE 100
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 237-0460
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ROBERT L FRERICHS, MD PLLC is an ambulatory surgical clinic center in Federal Way, WA. ROBERT L FRERICHS, MD PLLC NPI is 1659551885. The provider is registered as an organization entity type.

The provider's business location address is:

34612 6TH AVE S STE 100
FEDERAL WAY, WA
ZIP 98003-723
Phone: (253) 237-0460

The provider's authorized official is Robert L Frerichs .
The authorized official title is Provider/owner and has the following contact phone number (253) 588-7911.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	MD00024815	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1031079	MEDICAID	WASHINGTON
2	G8857020	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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