Frazer, Jay B

Frazer, Jay B is an individual health care provider with primary practice located at 3611 S Reed Rd Suite 104, Kokomo IN 46902-3828. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Frazer, Jay B can be contacted via phone (765) 453-5892.

Contact Information

Primary practice address
3611 S Reed Rd Suite 104 Kokomo IN 46902-3828
Phone: (765) 453-5892
Fax: (765) 453-8262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000435 Indiana

Profile Details

NPI number 1720172380
LBN Legal business name Frazer, Jay B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1720172380 NPPES
Indiana Other 0351930001 DMERC
Indiana Other 000000345131 DMERC

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