Fragen, Andrew J
Fragen, Andrew J is an sole proprietor health care provider with primary practice located at 1180 N Indian Canyon Dr Suite E205, Palm Springs CA 92262-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fragen, Andrew J can be contacted via phone (760) 323-6322.Contact Information
Primary practice address
1180 N Indian Canyon Dr Suite E205
Palm Springs CA 92262-4800
Phone: (760) 323-6322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G83291 | California |
Profile Details
| NPI number | 1417910092 |
|---|---|
| LBN Legal business name | Fragen, Andrew J |
| Credentials | MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 27th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417910092 | NPPES |
| California | Other | G83291 | STATE LICENSE NUMBER |
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