Frasier, Corey Dean
Frasier, Corey Dean is an individual health care provider with primary practice located at 105 State Highway 1947 # A , Grayson KY 41143-6825. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Frasier, Corey Dean can be contacted via phone (606) 475-0152.Contact Information
Primary practice address
105 State Highway 1947 # A
Grayson KY 41143-6825
Phone: (606) 475-0152
Fax: (606) 474-4240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.020466 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3008374 | Kentucky |
Profile Details
| NPI number | 1184053563 |
|---|---|
| LBN Legal business name | Frasier, Corey Dean |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Sep 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184053563 | NPPES |
| Kentucky | MEDICAID | 7100425660 | |
| Kentucky | MEDICAID | 0174020 |
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