Fraley, Andrea

Fraley, Andrea is an individual health care provider with primary practice located at 2017 W I 35 Frontage Rd Suite 130, Edmond OK 73013-8504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Fraley, Andrea can be contacted via phone (405) 757-3630.

Contact Information

Primary practice address
2017 W I 35 Frontage Rd Suite 130 Edmond OK 73013-8504
Phone: (405) 757-3630
Fax: (405) 757-3631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 26519 Oklahoma
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-115728 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 26519 Oklahoma

Profile Details

NPI number 1487660585
LBN Legal business name Fraley, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487660585 NPPES
Illinois MEDICAID 036115728

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