Fraser, Tyler Wayne

Fraser, Tyler Wayne is an individual health care provider with primary practice located at 1244 Primacy Pkwy , Memphis TN 38119-0201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Fraser, Tyler Wayne can be contacted via phone (901) 767-8662.

Contact Information

Primary practice address
1244 Primacy Pkwy Memphis TN 38119-0201
Phone: (901) 767-8662
Fax: (901) 767-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 62663 Tennessee

Profile Details

NPI number 1629464896
LBN Legal business name Fraser, Tyler Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Aug 2nd, 2021 - about 3 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 1629464896 NPPES
Tennessee Other 62663 TN LICENSE

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