Fishbein, Keith
Fishbein, Keith is an individual health care provider with primary practice located at 23831 Marbella Bay Rd Suite 102, Bonita Springs FL 34135-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fishbein, Keith can be contacted via phone (239) 494-8404.Contact Information
Primary practice address
23831 Marbella Bay Rd Suite 102
Bonita Springs FL 34135-1830
Phone: (239) 494-8404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA04065700 | New Jersey |
Profile Details
| NPI number | 1407851207 |
|---|---|
| LBN Legal business name | Fishbein, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | May 18th, 2009 - about 17 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 | 1407851207 | NPPES |
| New Jersey | Other | 4096206 | AETNA PPO # |
| New Jersey | Other | 0031965000 | AETNA PPO # |
| New Jersey | Other | F06621 | AETNA PPO # |
| New Jersey | Other | MES208 | AETNA PPO # |
| New Jersey | Other | 1130611 | AETNA PPO # |
| New Jersey | Other | 222908710 | AETNA PPO # |
| New Jersey | Other | 34706 | AETNA PPO # |
| New Jersey | MEDICAID | 0176206 | AETNA PPO # |
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