Frazier, Dustin Clyde
Frazier, Dustin Clyde is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Suite 100, Abingdon VA 24211-7664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Frazier, Dustin Clyde can be contacted via phone (276) 258-1760.Contact Information
Primary practice address
16000 Johnston Memorial Dr Suite 100
Abingdon VA 24211-7664
Phone: (276) 258-1760
Fax: (276) 258-1765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | H2382 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101255163 | Virginia |
Profile Details
| NPI number | 1396799326 |
|---|---|
| LBN Legal business name | Frazier, Dustin Clyde |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Feb 2nd, 2017 - about 7 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 | 1396799326 | NPPES |
| Virginia | MEDICAID | 1396799326 | |
| Virginia | Other | P01555089 | |
| Virginia | MEDICAID | 100141830A | |
| Virginia | MEDICAID | 031314002 | |
| Virginia | MEDICAID | Q003659 |
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