Fraser, Faith

Fraser, Faith is an sole proprietor health care provider with primary practice located at 5390 Loch Lomond Rd , Memphis TN 38116-9049. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Fraser, Faith can be contacted via phone (901) 321-5511.

Contact Information

Primary practice address
5390 Loch Lomond Rd Memphis TN 38116-9049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1063833622
LBN Legal business name Fraser, Faith
Credentials REV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2013
Last updated Dec 30th, 2013 - about 11 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 1063833622 NPPES
Wisconsin Other 206040 STATE CERTIFICATION
Wisconsin Other 00145595 STATE CERTIFICATION

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