Fyke, Frazier Earl
Fyke, Frazier Earl is an individual health care provider with primary practice located at 501 Marshall St Ste 104, Jackson MS 39202-1651. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fyke, Frazier Earl can be contacted via phone (601) 969-6404.Contact Information
Primary practice address
501 Marshall St Ste 104
Jackson MS 39202-1651
Phone: (601) 969-6404
Fax: (601) 973-4541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 10477 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 10477 | Mississippi |
Profile Details
| NPI number | 1780609362 |
|---|---|
| LBN Legal business name | Fyke, Frazier Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 29th, 2018 - about 8 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 | 1780609362 | NPPES |
| Mississippi | MEDICAID | 00116537 |
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