Frazier, Mary Linda

Frazier, Mary Linda is an sole proprietor health care provider with primary practice located at 1972 State Route 139 , Portsmouth OH 45662-8857. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Frazier, Mary Linda can be contacted via phone (740) 456-6235.

Contact Information

Primary practice address
1972 State Route 139 Portsmouth OH 45662-8857
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN079361 Ohio

Profile Details

NPI number 1396950150
LBN Legal business name Frazier, Mary Linda
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 16th, 2007 - about 17 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 1396950150 NPPES
Ohio MEDICAID 2303037

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