Fralick, Susan

Fralick, Susan is an sole proprietor health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fralick, Susan can be contacted via phone (937) 641-3000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0000555 Ohio

Profile Details

NPI number 1548251325
LBN Legal business name Fralick, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Feb 6th, 2020 - about 4 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 1548251325 NPPES
Ohio Other 000000004356 ANTHEM
Ohio Other 197091000 ANTHEM

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