Fraser, Brian J

Fraser, Brian J is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fraser, Brian J can be contacted via phone (605) 333-1720.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 333-1720
Fax: (605) 333-1966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 0058 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0058 South Dakota

Profile Details

NPI number 1679765192
LBN Legal business name Fraser, Brian J
Credentials PATHOLOGY ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 2007 - about 19 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 1679765192 NPPES
South Dakota Other 0058 PHYSICIAN ASSISTANT CERTI

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