Fraykor, Michael

Fraykor, Michael is an individual health care provider with primary practice located at 19465 Deerfield Avenue, Suite 401 Ste 403, Leesburg VA 20176-1707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fraykor, Michael can be contacted via phone (703) 723-5700.

Contact Information

Primary practice address
19465 Deerfield Avenue, Suite 401 Ste 403 Leesburg VA 20176-1707
Phone: (703) 723-5700
Fax: (703) 723-5778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002456 Virginia

Profile Details

NPI number 1174677504
LBN Legal business name Fraykor, Michael
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 19th, 2024 - about 8 months 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 1174677504 NPPES
Virginia Other C06319 MEDICARE GROUP PIN
Virginia MEDICAID 30015827950001 MEDICARE GROUP PIN
Virginia MEDICAID 1174677504 MEDICARE GROUP PIN

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