Frazee, Walter Jay

Frazee, Walter Jay is an individual health care provider with primary practice located at 807 W Grand Ave , Hot Springs AR 71913-3528. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Frazee, Walter Jay can be contacted via phone (501) 623-1000.

Contact Information

Primary practice address
807 W Grand Ave Hot Springs AR 71913-3528
Phone: (501) 623-1000
Fax: (501) 623-1506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2508 Arkansas

Profile Details

NPI number 1952426744
LBN Legal business name Frazee, Walter Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 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 1952426744 NPPES
Arkansas MEDICAID 10246768

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