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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417910092 NPPES
California Other G83291 STATE LICENSE NUMBER

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