King, Frazier
King, Frazier is an sole proprietor health care provider with primary practice located at 2023 Sandpoint West Dr , Sandpoint ID 83864-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. King, Frazier can be contacted via phone (208) 255-1523.Contact Information
Primary practice address
2023 Sandpoint West Dr
Sandpoint ID 83864-7304
Phone: (208) 255-1523
Fax: (208) 255-7894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M8165 | Idaho |
Profile Details
| NPI number | 1346232428 |
|---|---|
| LBN Legal business name | King, Frazier |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Mar 7th, 2012 - about 14 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 | 1346232428 | NPPES |
| Idaho | Other | 080195176 | RAIL ROAD MEDICARE |
| Idaho | MEDICAID | 806042600 | RAIL ROAD MEDICARE |
| Idaho | Other | 50641 | RAIL ROAD MEDICARE |
| Idaho | Other | 000010032447 | RAIL ROAD MEDICARE |
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