Fry, William R
Fry, William R is an individual health care provider with primary practice located at 2222 N Nevada Ave Ste 5010 , Colorado Springs CO 80907-6865. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fry, William R can be contacted via phone (719) 776-6700.Contact Information
Primary practice address
2222 N Nevada Ave Ste 5010
Colorado Springs CO 80907-6865
Phone: (719) 776-6700
Fax: (719) 776-6780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101244709 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35294 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 0101244709 | Virginia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 35294 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101244709 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35294 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | DR.0033611 | Colorado |
Profile Details
| NPI number | 1568437408 |
|---|---|
| LBN Legal business name | Fry, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 6th, 2023 - about 2 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 | 1568437408 | NPPES |
| Virginia | MEDICAID | 1568437408 | |
| Virginia | MEDICAID | 352942 | |
| Virginia | MEDICAID | 01336114 |
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