Frazier, Jonathan T

Frazier, Jonathan T is an individual health care provider with primary practice located at 1005 Grove Rd , Greenville SC 29605-4630. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Frazier, Jonathan T can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
1005 Grove Rd Greenville SC 29605-4630
Phone: (864) 455-6900
Fax: (864) 255-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN1664 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1664 South Carolina

Profile Details

NPI number 1558327528
LBN Legal business name Frazier, Jonathan T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 7th, 2021 - about 5 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 1558327528 NPPES
South Carolina MEDICAID NP0670

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