Fray, John Michael

Fray, John Michael is an sole proprietor health care provider with primary practice located at 24 Tally Ho Dr , Fredericksburg VA 22405-3307. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fray, John Michael can be contacted via phone (540) 899-7762.

Contact Information

Primary practice address
24 Tally Ho Dr Fredericksburg VA 22405-3307
Phone: (540) 899-7762
Fax: (540) 899-3733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 871 Virginia

Profile Details

NPI number 1346237062
LBN Legal business name Fray, John Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Aug 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346237062 NPPES
Virginia Other 066918 ANTHEM PROVIDER NUMBER
Virginia Other 186949 ANTHEM PROVIDER NUMBER

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