Frazier, Mark Frederick
Frazier, Mark Frederick is an individual health care provider with primary practice located at 139 West Rand Rd. , Arlington Heights IL 60004-3982. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Frazier, Mark Frederick can be contacted via phone (847) 259-8583.Contact Information
Primary practice address
139 West Rand Rd.
Arlington Heights IL 60004-3982
Phone: (847) 259-8583
Fax: (847) 259-8935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071003590 | Illinois |
Profile Details
| NPI number | 1679510796 |
|---|---|
| LBN Legal business name | Frazier, Mark Frederick |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Nov 12th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679510796 | NPPES |
| Illinois | Other | 1673206 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 680010989 | BLUE CROSS BLUE SHIELD |
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