Fraley, Dennis Michael
Fraley, Dennis Michael is an individual health care provider with primary practice located at 2839 Hermitage Ln , Florence SC 29501-5332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fraley, Dennis Michael can be contacted via phone (843) 665-1355.Contact Information
Primary practice address
2839 Hermitage Ln
Florence SC 29501-5332
Phone: (843) 665-1355
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R00082962 | South Carolina |
Profile Details
NPI number | 1417954405 |
---|---|
LBN Legal business name | Fraley, Dennis Michael |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
Last updated | Mar 19th, 2014 - about 10 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 | 1417954405 | NPPES |
South Carolina | MEDICAID | AN0924 |
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