Fratkin, Michael David

Fratkin, Michael David is an individual health care provider with primary practice located at 2440 23Rd St Ste B , Eureka CA 95501-3203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Fratkin, Michael David can be contacted via phone (707) 442-5683.

Contact Information

Primary practice address
2440 23Rd St Ste B Eureka CA 95501-3203
Phone: (707) 442-5683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G83364 California
Other Service Providers / Specialist 174400000X G83364 California

Profile Details

NPI number 1508892738
LBN Legal business name Fratkin, Michael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 29th, 2017 - about 9 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 1508892738 NPPES
California MEDICAID 00G833640

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