Frazine, Carla D.

Frazine, Carla D. is an sole proprietor health care provider with primary practice located at 2605 Kentucky Ave Suite 402, Paducah KY 42003-3800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Frazine, Carla D. can be contacted via phone (270) 366-7650.

Contact Information

Primary practice address
2605 Kentucky Ave Suite 402 Paducah KY 42003-3800
Phone: (270) 366-7650
Fax: (270) 443-7080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA426 Kentucky

Profile Details

NPI number 1417153982
LBN Legal business name Frazine, Carla D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Dec 22nd, 2014 - about 12 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 1417153982 NPPES
Kentucky MEDICAID 710006710

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