Frankenberg, Fred Wayne
Frankenberg, Fred Wayne is an individual health care provider with primary practice located at 101 Dates Dr , Ithaca NY 14850-1342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Frankenberg, Fred Wayne can be contacted via phone (607) 274-4011.Contact Information
Primary practice address
101 Dates Dr
Ithaca NY 14850-1342
Phone: (607) 274-4011
Fax: (607) 274-4198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 81752 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 267226 | New York |
Profile Details
| NPI number | 1669436911 |
|---|---|
| LBN Legal business name | Frankenberg, Fred Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Sep 26th, 2023 - about 3 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 | 1669436911 | NPPES |
| Georgia | MEDICAID | 003212153A | |
| Georgia | MEDICAID | 266291400 | |
| Georgia | Other | 364516922 | |
| Georgia | Other | ME86861 | |
| Georgia | Other | 57648 |
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