Frazier, Todd

Frazier, Todd is an sole proprietor health care provider with primary practice located at 4402 E State Blvd , Fort Wayne IN 46815-6917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Frazier, Todd can be contacted via phone (260) 425-5500.

Contact Information

Primary practice address
4402 E State Blvd Fort Wayne IN 46815-6917
Phone: (260) 425-5500
Fax: (260) 425-5505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101251011 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 81697 South Carolina
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 01077873A Indiana

Profile Details

NPI number 1285890426
LBN Legal business name Frazier, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Oct 15th, 2022 - about 4 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 1285890426 NPPES
South Carolina MEDICAID 816978

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