Provider Demographics
NPI:1629142427
Name:AFTEN, FREDERICK WILLIAM (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:WILLIAM
Last Name:AFTEN
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4446
Mailing Address - Street 2:AFTERN CHIROPRACTIC CENTER
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98063-4446
Mailing Address - Country:US
Mailing Address - Phone:253-839-2225
Mailing Address - Fax:253-839-1424
Practice Address - Street 1:27020 PACIFIC HWY SOUTH
Practice Address - Street 2:SUITE B
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-6951
Practice Address - Country:US
Practice Address - Phone:253-839-2225
Practice Address - Fax:253-839-1424
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
37565OtherLABOR IND
AF0032OtherREGENCE
37565OtherLABOR IND