Fraser, Candace L

Fraser, Candace L is an individual health care provider with primary practice located at 883 Blakely Rd , Colchester VT 05446-4417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fraser, Candace L can be contacted via phone (802) 847-2055.

Contact Information

Primary practice address
883 Blakely Rd Colchester VT 05446-4417
Phone: (802) 847-2055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Vermont

Profile Details

NPI number 1750303715
LBN Legal business name Fraser, Candace L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1750303715 NPPES
Vermont MEDICAID OVN0825
Vermont MEDICAID 01463510

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