Frazier, Susan C.

Frazier, Susan C. is an individual health care provider with primary practice located at 725 Albany St Shapiro 9, Suite A, Boston MA 02118-2526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Frazier, Susan C. can be contacted via phone (617) 638-6100.

Contact Information

Primary practice address
725 Albany St Shapiro 9, Suite A Boston MA 02118-2526
Phone: (617) 638-6100
Fax: (617) 638-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN146219 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN146219 Massachusetts

Profile Details

NPI number 1679585988
LBN Legal business name Frazier, Susan C.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 6th, 2015 - about 11 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 1679585988 NPPES
Massachusetts Other P00413847 RAILROAD MEDICARE
Massachusetts MEDICAID 110025268A RAILROAD MEDICARE
Massachusetts Other M20191 RAILROAD MEDICARE

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