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
Fax: (910) 577-0183
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992794614 NPPES
North Carolina MEDICAID 8933694

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