Fraser, Austin Michael

Fraser, Austin Michael is an individual health care provider with primary practice located at 111 Veterans Memorial Blvd Suite #404, Metairie LA 70005-3028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fraser, Austin Michael can be contacted via phone (504) 899-1120.

Contact Information

Primary practice address
111 Veterans Memorial Blvd Suite #404 Metairie LA 70005-3028
Fax: (504) 899-2432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD.203003 Louisiana

Profile Details

NPI number 1336339118
LBN Legal business name Fraser, Austin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Feb 28th, 2023 - about 2 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 1336339118 NPPES
Louisiana MEDICAID 1000701
Louisiana MEDICAID 00628568

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