Fraser, Cosmo Lyle
Fraser, Cosmo Lyle is an sole proprietor health care provider with primary practice located at 2115 E Onstott Rd , Yuba City CA 95991-1556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fraser, Cosmo Lyle can be contacted via phone (530) 751-0339.Contact Information
Primary practice address
2115 E Onstott Rd
Yuba City CA 95991-1556
Phone: (530) 751-0339
Fax: (530) 751-0449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C40203 | California |
Profile Details
| NPI number | 1215026760 |
|---|---|
| LBN Legal business name | Fraser, Cosmo Lyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215026760 | NPPES |
| California | MEDICAID | 00C402030 |
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