Ronald J Fredrickson (NPI# 1750460218, PAC ID# 9234227810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1750460218 |
PAC ID by PECOS | 9234227810 |
Professional Enrollment ID | I20071115000144 |
Full Name | Ronald J Fredrickson |
Address |
355 W 3rd Ave Kettle Falls WA 99141-8620 |
Gender | M |
Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
Graduation Year | 1981 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
355 W 3rd Ave, Kettle Falls, WA 99141-8620 |
Street Address |
355 W 3RD AVE |
City | KETTLE FALLS |
State | WA |
Zip | 99141-8620 |
Name | Specialty | Organization | Address |
---|---|---|---|
H Theresa Porter | Optometry | 355 W 3rd Ave, Unit 2, Kettle Falls, WA 99141-8620 | |
Susan L Ridlington | Physical Therapy | 355 W 3rd Ave, Kettle Falls, WA 99141-0788 | |
Matthew A Shaw | Family Medicine | Icco LLC | 355 W 3rd Ave, Junction City, OR 97448-1313 |
Douglas D Bailey | Family Medicine | Icco LLC | 355 W 3rd Ave, Junction City, OR 97448-1313 |
Name | Specialty | Organization | Address |
---|---|---|---|
April S Hume | Family Medicine | Providence Health and Services Washington | 840 S Meyers St, Kettle Falls, WA 99141-7005 |
Paul Benjamin Gloe | Family Medicine | Providence Health and Services Washington | 840 S Meyers St, Kettle Falls, WA 99141-7005 |
City | KETTLE FALLS |
Zip Code | 99141 |
Specialty | CHIROPRACTIC |
City + Specialty | KETTLE FALLS + CHIROPRACTIC |
Please comment or provide details below to improve the information on Ronald J Fredrickson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.