Fraser, John C

Fraser, John C is an individual health care provider with primary practice located at 3 Riverside Circle , Roanoke VA 24016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Fraser, John C can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
3 Riverside Circle Roanoke VA 24016
Phone: (540) 224-5170
Fax: (540) 985-9612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101-237302 Virginia

Profile Details

NPI number 1013987270
LBN Legal business name Fraser, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 11th, 2011 - about 15 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 1013987270 NPPES
Virginia MEDICAID 010413273
Virginia MEDICAID 010413117
Virginia MEDICAID 010117631
Virginia MEDICAID 010408890

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