Frazier, Jed Lamar

Frazier, Jed Lamar is an individual health care provider with primary practice located at 185 S Main St Suite D, Kamas UT 84036-9597. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Frazier, Jed Lamar can be contacted via phone (435) 783-2838.

Contact Information

Primary practice address
185 S Main St Suite D Kamas UT 84036-9597
Fax: (435) 783-2840
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5049945-1202 Utah

Profile Details

NPI number 1417938184
LBN Legal business name Frazier, Jed Lamar
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 9th, 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 1417938184 NPPES
Utah Other 50499451200001 BCBS
Utah Other 67337 BCBS
Utah Other 50499451277001 BCBS
Utah MEDICAID 870395551005 BCBS
Utah Other 50499451277001 BCBS
Utah Other 50499451277001 BCBS
Utah Other QM0000056512 BCBS

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