Fraser, Jeffrey Lynn
Fraser, Jeffrey Lynn is an individual health care provider with primary practice located at 751 S Bascom Ave Neurology Department, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fraser, Jeffrey Lynn can be contacted via phone (408) 885-5580.Contact Information
Primary practice address
751 S Bascom Ave Neurology Department
San Jose CA 95128-2604
Phone: (408) 885-5580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G62227 | California |
Profile Details
| NPI number | 1619930716 |
|---|---|
| LBN Legal business name | Fraser, Jeffrey Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Sep 12th, 2007 - about 17 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 | 1619930716 | NPPES |
| California | MEDICAID | 00G622270 |
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