Frazier, Jodie Marie

Frazier, Jodie Marie is an individual health care provider with primary practice located at 730 W Market St , Lima OH 45801-4602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Frazier, Jodie Marie can be contacted via phone (161) 472-2200.

Contact Information

Primary practice address
730 W Market St Lima OH 45801-4602
Phone: (161) 472-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN.CNP.026474 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN.CNP.026474 Ohio

Profile Details

NPI number 1316574528
LBN Legal business name Frazier, Jodie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2020
Last updated Nov 29th, 2021 - about 3 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 1316574528 NPPES
Ohio MEDICAID 0400741

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