Frazier, Mary

Frazier, Mary is an individual health care provider with primary practice located at 2855 N Keystone Ave Suite 100, Indianapolis IN 46218-2789. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Frazier, Mary can be contacted via phone (317) 920-5760.

Contact Information

Primary practice address
2855 N Keystone Ave Suite 100 Indianapolis IN 46218-2789
Phone: (317) 920-5760
Fax: (317) 920-5768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01059801A Indiana

Profile Details

NPI number 1205825379
LBN Legal business name Frazier, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Sep 8th, 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 1205825379 NPPES
Indiana MEDICAID 200510350

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