King, Frazier

King, Frazier is an sole proprietor health care provider with primary practice located at 2023 Sandpoint West Dr , Sandpoint ID 83864-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. King, Frazier can be contacted via phone (208) 255-1523.

Contact Information

Primary practice address
2023 Sandpoint West Dr Sandpoint ID 83864-7304
Phone: (208) 255-1523
Fax: (208) 255-7894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8165 Idaho

Profile Details

NPI number 1346232428
LBN Legal business name King, Frazier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Mar 7th, 2012 - about 13 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 1346232428 NPPES
Idaho Other 080195176 RAIL ROAD MEDICARE
Idaho MEDICAID 806042600 RAIL ROAD MEDICARE
Idaho Other 50641 RAIL ROAD MEDICARE
Idaho Other 000010032447 RAIL ROAD MEDICARE

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