Fraser, Douglas James

Fraser, Douglas James is an individual health care provider with primary practice located at 5411A Backlick Rd , Springfield VA 22151-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fraser, Douglas James can be contacted via phone (703) 256-2474.

Contact Information

Primary practice address
5411A Backlick Rd Springfield VA 22151-3915
Phone: (703) 256-2474
Fax: (703) 941-7938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101023876 Virginia

Profile Details

NPI number 1326107103
LBN Legal business name Fraser, Douglas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Jul 9th, 2007 - about 18 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 1326107103 NPPES
Other 2146733 MAMSI PROV. NUMBER
Other 1682 MAMSI PROV. NUMBER
Other 2146733 MAMSI PROV. NUMBER
Other 78521 MAMSI PROV. NUMBER
Other ONENET PPO ALLIANCE MAMSI PROV. NUMBER
Other 08 00148 MAMSI PROV. NUMBER
Other 1682 MAMSI PROV. NUMBER
Other 2146733 MAMSI PROV. NUMBER
Other 244846 MAMSI PROV. NUMBER
Other 274557 MAMSI PROV. NUMBER
Other 698420 MAMSI PROV. NUMBER

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