Christopher Frazier

Individual provider Active NPI Technician/Technologist · Amite, LA

NPI 1033977913 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1033977913
Entity type
Individual (NPI type 1)
Primary specialty
Technician/Technologist 156F00000X
Practice address
816 S 2ND St
Amite, LA 70422-3429
Phone
(985) 286-9348
NPI assigned
Mar 6, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Yes

Addresses

Primary practice location

816 S 2ND St
Amite, LA 70422-3429

Mailing address

816 S 2ND St
Amite, LA 70422-3429
Phone (985) 286-9348

Other providers in Amite, LA

All providers in Amite, LA · Technician/Technologist in Louisiana

Sources for this page

Verify at the official NPI Registry.