Fortenberry, Frazier T

Fortenberry, Frazier T is an sole proprietor health care provider with primary practice located at 630 Peter Jefferson Pkwy Suite 135, Charlottesville VA 22911-8605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fortenberry, Frazier T can be contacted via phone (434) 244-5722.

Contact Information

Primary practice address
630 Peter Jefferson Pkwy Suite 135 Charlottesville VA 22911-8605
Phone: (434) 244-5722
Fax: (434) 244-5723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101044989 Virginia

Profile Details

NPI number 1376530816
LBN Legal business name Fortenberry, Frazier T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jul 21st, 2011 - about 15 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 1376530816 NPPES
Virginia Other 14120 COMMUNITY HEALTH
Virginia Other 23555 COMMUNITY HEALTH
Virginia Other 461522 COMMUNITY HEALTH
Virginia Other P00003207 COMMUNITY HEALTH
Virginia Other 367104 COMMUNITY HEALTH
Virginia Other 204175 COMMUNITY HEALTH
Virginia Other 340000300 COMMUNITY HEALTH

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