Freitag, David Stephen

Freitag, David Stephen is an sole proprietor health care provider with primary practice located at 26800 S Tamiami Trl Suite 360, Bonita Springs FL 34134-4349. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Freitag, David Stephen can be contacted via phone (239) 495-1234.

Contact Information

Primary practice address
26800 S Tamiami Trl Suite 360 Bonita Springs FL 34134-4349
Phone: (239) 495-1234
Fax: (239) 495-2345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 101044482 Virginia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME103242 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD60147325 Washington

Profile Details

NPI number 1053387050
LBN Legal business name Freitag, David Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Mar 18th, 2014 - about 12 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 1053387050 NPPES
Florida Other 145AU BCBS
Florida MEDICAID 004044200 BCBS

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