Fraser, David B
Fraser, David B is an individual health care provider with primary practice located at 19942 Saint Joseph Dr Centerville Medical Clinic, Centerville IA 52544-8849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fraser, David B can be contacted via phone (641) 856-8684.Contact Information
Primary practice address
19942 Saint Joseph Dr Centerville Medical Clinic
Centerville IA 52544-8849
Phone: (641) 856-8684
Fax: (641) 856-3009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24957 | Iowa |
Profile Details
| NPI number | 1801887476 |
|---|---|
| LBN Legal business name | Fraser, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 14th, 2019 - about 5 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 | 1801887476 | NPPES |
| Iowa | MEDICAID | 2023317 | |
| Iowa | Other | P00000619 |
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