Frazier, Gary M

Frazier, Gary M is an individual health care provider with primary practice located at 1700 Old Lebanon Rd , Campbellsville KY 42718-9662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Frazier, Gary M can be contacted via phone (270) 932-3694.

Contact Information

Primary practice address
1700 Old Lebanon Rd Campbellsville KY 42718-9662
Phone: (270) 932-3694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33972 Kentucky

Profile Details

NPI number 1346204732
LBN Legal business name Frazier, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Oct 13th, 2011 - about 15 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 1346204732 NPPES
Kentucky MEDICAID 64339724
Kentucky Other 0000188189
Kentucky Other 1139488

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