Fraser, Nikkiya M.
Fraser, Nikkiya M. is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Ste 304 , Fort Wayne IN 46804-4128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fraser, Nikkiya M. can be contacted via phone (260) 458-3600.Contact Information
Primary practice address
7900 W Jefferson Blvd Ste 304
Fort Wayne IN 46804-4128
Phone: (260) 458-3600
Fax: (260) 458-3601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01065295A | Indiana |
Profile Details
| NPI number | 1013132109 |
|---|---|
| LBN Legal business name | Fraser, Nikkiya M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Sep 23rd, 2020 - about 4 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 | 1013132109 | NPPES |
| Indiana | Other | 000000611145 | ANTHEM |
| Indiana | MEDICAID | 200902080 | ANTHEM |
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