Fraser, Alex Ian

Fraser, Alex Ian is an sole proprietor health care provider with primary practice located at 3969 Chadwick Dr , Carmel IN 46033-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fraser, Alex Ian can be contacted via phone (317) 816-6924.

Contact Information

Primary practice address
3969 Chadwick Dr Carmel IN 46033-4810
Fax: (195) 265-8195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17685 Iowa

Profile Details

NPI number 1417940602
LBN Legal business name Fraser, Alex Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Aug 8th, 2012 - about 12 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 1417940602 NPPES
Iowa Other 05187 WELLMARK BCBS
Iowa MEDICAID 0478982 WELLMARK BCBS

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