Frazier, Coretta
Frazier, Coretta is an individual health care provider with primary practice located at 200 N Congress St Ste 109 , Jackson MS 39201-1902. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Frazier, Coretta can be contacted via phone (601) 863-6997.Contact Information
Primary practice address
200 N Congress St Ste 109
Jackson MS 39201-1902
Phone: (601) 863-6997
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
NPI number | 1568066686 |
---|---|
LBN Legal business name | Frazier, Coretta |
Credentials | MBA-HRM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2020 |
Last updated | Nov 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568066686 | NPPES |
Mississippi | Other | 853667274 | HOME HEALTH |
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