Frazier, Joe
Frazier, Joe is an sole proprietor health care provider with primary practice located at 4156 E Agate Knoll Dr , Tucson AZ 85706-3048. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Frazier, Joe can be contacted via phone (520) 664-2313.Contact Information
Primary practice address
4156 E Agate Knoll Dr
Tucson AZ 85706-3048
Phone: (520) 664-2313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1770657942 |
|---|---|
| LBN Legal business name | Frazier, Joe |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 26th, 2007 - about 18 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 | 1770657942 | NPPES |
| Arizona | MEDICAID | 738437 |
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