Fraser, Jeffrey Lynn

Fraser, Jeffrey Lynn is an individual health care provider with primary practice located at 751 S Bascom Ave Neurology Department, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fraser, Jeffrey Lynn can be contacted via phone (408) 885-5580.

Contact Information

Primary practice address
751 S Bascom Ave Neurology Department San Jose CA 95128-2604
Phone: (408) 885-5580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G62227 California

Profile Details

NPI number 1619930716
LBN Legal business name Fraser, Jeffrey Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Sep 12th, 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 1619930716 NPPES
California MEDICAID 00G622270

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