Frazer, Paul D

Frazer, Paul D is an individual health care provider with primary practice located at 915 Mountain View Rd , Rapid City SD 57702-3414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Frazer, Paul D can be contacted via phone (605) 719-7205.

Contact Information

Primary practice address
915 Mountain View Rd Rapid City SD 57702-3414
Fax: (605) 719-7007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2427 South Dakota

Profile Details

NPI number 1508966094
LBN Legal business name Frazer, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
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 1508966094 NPPES
South Dakota MEDICAID 7100845

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