Frazier, Monique R
Frazier, Monique R is an individual health care provider with primary practice located at 246 E 1260 N , Logan UT 84341-7501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Frazier, Monique R can be contacted via phone (435) 750-6300.Contact Information
Primary practice address
246 E 1260 N
Logan UT 84341-7501
Phone: (435) 750-6300
Fax: (435) 753-8995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2797447-2501 | Utah |
Profile Details
| NPI number | 1013040617 |
|---|---|
| LBN Legal business name | Frazier, Monique R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013040617 | NPPES |
| Utah | Other | 62617 | PEHP |
| Utah | Other | 825140 | PEHP |
| Utah | Other | 107008963103 | PEHP |
| Utah | Other | 27974472500001 | PEHP |
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