Fraifeld, Eduardo Mauricio

Fraifeld, Eduardo Mauricio is an individual health care provider with primary practice located at 109 Bridge St Ste 300 , Danville VA 24541-1222. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fraifeld, Eduardo Mauricio can be contacted via phone (347) 934-7114.

Contact Information

Primary practice address
109 Bridge St Ste 300 Danville VA 24541-1222
Phone: (347) 934-7114
Fax: (434) 797-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101055618 Virginia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 0101055618 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101055618 Virginia

Profile Details

NPI number 1114984358
LBN Legal business name Fraifeld, Eduardo Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jun 10th, 2020 - about 6 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 1114984358 NPPES
Virginia Other 366425 ANTHEM BCBS VA
Virginia MEDICAID 5708702 ANTHEM BCBS VA
Virginia MEDICAID 890557Q ANTHEM BCBS VA
Virginia Other P00814694 ANTHEM BCBS VA
Virginia Other 0557Q ANTHEM BCBS VA

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