Organization
FREDRICKSON CHIROPRACTIC CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J FREDRICKSON DC (OWNER)
(509) 738-2069
Entity
Organization
Contact information
Practice address
355 W 3RD ST, KETTLE FALLS, WA 99141
(509) 738-2386
(509) 738-2386
Mailing address
PO BOX 788, KETTLE FALLS, WA 99141-0788
(509) 738-2386
(509) 738-2386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094902
—
WA
Enumeration date
04/27/2007
Last updated
04/11/2008
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