Fraser, Susan L
Fraser, Susan L is an individual health care provider with primary practice located at 1624 S I St Suite 305, Tacoma WA 98405-5016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fraser, Susan L can be contacted via phone (253) 428-8700.Contact Information
Primary practice address
1624 S I St Suite 305
Tacoma WA 98405-5016
Phone: (253) 428-8700
Fax: (253) 383-3376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 28553 | Colorado |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD60539033 | Washington |
Profile Details
| NPI number | 1932187663 |
|---|---|
| LBN Legal business name | Fraser, Susan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Oct 6th, 2023 - about 2 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 | 1932187663 | NPPES |
| Washington | MEDICAID | 2049768 |
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