Fraker, Jacob M.

Fraker, Jacob M. is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fraker, Jacob M. can be contacted via phone (574) 247-9441.

Contact Information

Primary practice address
53880 Carmichael Dr South Bend IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000686A Indiana

Profile Details

NPI number 1770565723
LBN Legal business name Fraker, Jacob M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 9th, 2023 - about 2 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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