MEDICARE: MR. WILLIAM FREDERICK EHNI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	AE2700385	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679502264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM FREDERICK EHNI M.D.

Provider Business Mailing Address
First Line	:	1012 NW 199TH ST
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98177-2642
Country	:	US
Telephone Number	:	206-546-4939
Fax Number	:

Provider Business Practice Location Address
First Line	:	21701 76TH AVE W
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-7536
Country	:	US
Telephone Number	:	425-744-1740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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