Fraley, Larry Michael
Fraley, Larry Michael is an individual health care provider with primary practice located at 111 Franklin Health Commons , Farmington ME 04938. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fraley, Larry Michael can be contacted via phone (207) 779-2357.Contact Information
Primary practice address
111 Franklin Health Commons
Farmington ME 04938
Phone: (207) 779-2357
Fax: (207) 779-2240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32682 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 32682 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 017689 | Maine |
Profile Details
| NPI number | 1659367217 |
|---|---|
| LBN Legal business name | Fraley, Larry Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 5th, 2010 - about 15 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 | 1659367217 | NPPES |
| Kentucky | MEDICAID | 64326820 |
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