Fraley, Dennis Michael

Fraley, Dennis Michael is an individual health care provider with primary practice located at 2839 Hermitage Ln , Florence SC 29501-5332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fraley, Dennis Michael can be contacted via phone (843) 665-1355.

Contact Information

Primary practice address
2839 Hermitage Ln Florence SC 29501-5332
Phone: (843) 665-1355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R00082962 South Carolina

Profile Details

NPI number 1417954405
LBN Legal business name Fraley, Dennis Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 19th, 2014 - about 12 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 1417954405 NPPES
South Carolina MEDICAID AN0924

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