Frayer, Susan

Frayer, Susan is an individual health care provider with primary practice located at 306 E Maumee St Ste 303 , Angola IN 46703-2044. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Frayer, Susan can be contacted via phone (260) 667-5685.

Contact Information

Primary practice address
306 E Maumee St Ste 303 Angola IN 46703-2044
Phone: (260) 667-5685
Fax: (260) 667-5564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01050884A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01050884A Indiana

Profile Details

NPI number 1598757684
LBN Legal business name Frayer, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598757684 NPPES
Michigan MEDICAID 104529434
Michigan MEDICAID 200256660

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