Frazer, Charlene M

Frazer, Charlene M is an individual health care provider with primary practice located at 3919 W Newberry Rd Suite 4, Gainesville FL 32607-2355. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Frazer, Charlene M can be contacted via phone (352) 373-7984.

Contact Information

Primary practice address
3919 W Newberry Rd Suite 4 Gainesville FL 32607-2355
Phone: (352) 373-7984
Fax: (352) 332-3812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6132 Florida

Profile Details

NPI number 1003890575
LBN Legal business name Frazer, Charlene M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Sep 16th, 2009 - about 15 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 1003890575 NPPES
Florida MEDICAID 891055300

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