Friedenberg, Keith Alan
Friedenberg, Keith Alan is an individual health care provider with primary practice located at 8877 Mentor Ave , Mentor OH 44060-6211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Friedenberg, Keith Alan can be contacted via phone (440) 205-1225.Contact Information
Primary practice address
8877 Mentor Ave
Mentor OH 44060-6211
Phone: (440) 205-1225
Fax: (440) 205-1275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35067316 | Ohio |
Profile Details
| NPI number | 1104928043 |
|---|---|
| LBN Legal business name | Friedenberg, Keith Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Mar 16th, 2018 - about 8 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 | 1104928043 | NPPES |
| Ohio | MEDICAID | 0985180 |
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