Fry, Douglas E

Fry, Douglas E is an individual health care provider with primary practice located at 231 Avon Rd , Narberth PA 19072. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Fry, Douglas E can be contacted via phone (267) 263-0657.

Contact Information

Primary practice address
231 Avon Rd Narberth PA 19072
Fax: (267) 263-0667
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN247115L Pennsylvania

Profile Details

NPI number 1427024454
LBN Legal business name Fry, Douglas E
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 19th, 2016 - about 8 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 1427024454 NPPES
Pennsylvania MEDICAID 7660353

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