Fraser, David Donald
Fraser, David Donald is an sole proprietor health care provider with primary practice located at 1126B Kellum Loop Rd , Jacksonville NC 28546-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fraser, David Donald can be contacted via phone (910) 577-0177.Contact Information
Primary practice address
1126B Kellum Loop Rd
Jacksonville NC 28546-3304
Phone: (910) 577-0177
Fax: (910) 577-0183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 31985 | North Carolina |
Profile Details
NPI number | 1992794614 |
---|---|
LBN Legal business name | Fraser, David Donald |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 14th, 2005 |
Last updated | Apr 24th, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992794614 | NPPES |
North Carolina | MEDICAID | 8933694 |
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