Frazier, Jerome
Frazier, Jerome is an sole proprietor health care provider with primary practice located at 1401 S Don Roser Dr Suite D, Las Cruces NM 88011-4567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Frazier, Jerome can be contacted via phone (575) 522-2800.Contact Information
Primary practice address
1401 S Don Roser Dr Suite D
Las Cruces NM 88011-4567
Phone: (575) 522-2800
Fax: (575) 647-8381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0000 | Oklahoma |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A-1560-10 | New Mexico |
Profile Details
| NPI number | 1508066457 |
|---|---|
| LBN Legal business name | Frazier, Jerome |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Aug 19th, 2011 - about 13 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 | 1508066457 | NPPES |
| California | Other | 1534731 | MEDICAL UPIN |
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