Frazier, Susan C.
Frazier, Susan C. is an individual health care provider with primary practice located at 725 Albany St Shapiro 9, Suite A, Boston MA 02118-2526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Frazier, Susan C. can be contacted via phone (617) 638-6100.Contact Information
Primary practice address
725 Albany St Shapiro 9, Suite A
Boston MA 02118-2526
Phone: (617) 638-6100
Fax: (617) 638-6179
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN146219 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN146219 | Massachusetts |
Profile Details
NPI number | 1679585988 |
---|---|
LBN Legal business name | Frazier, Susan C. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Feb 6th, 2015 - about 9 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 | 1679585988 | NPPES |
Massachusetts | Other | P00413847 | RAILROAD MEDICARE |
Massachusetts | MEDICAID | 110025268A | RAILROAD MEDICARE |
Massachusetts | Other | M20191 | RAILROAD MEDICARE |
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