Frayer, Susan
Frayer, Susan is an individual health care provider with primary practice located at 306 E Maumee St Ste 303 , Angola IN 46703-2044. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Frayer, Susan can be contacted via phone (260) 667-5685.Contact Information
Primary practice address
306 E Maumee St Ste 303
Angola IN 46703-2044
Phone: (260) 667-5685
Fax: (260) 667-5564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01050884A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01050884A | Indiana |
Profile Details
| NPI number | 1598757684 |
|---|---|
| LBN Legal business name | Frayer, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 28th, 2020 - about 6 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 | 1598757684 | NPPES |
| Michigan | MEDICAID | 104529434 | |
| Michigan | MEDICAID | 200256660 |
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