Froberg, Blake Aaron

Froberg, Blake Aaron is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 1721, Indianapolis IN 46202-5109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Froberg, Blake Aaron can be contacted via phone (317) 962-8067.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 1721 Indianapolis IN 46202-5109
Phone: (317) 962-8067
Fax: (317) 962-3796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01060973A Indiana
Allopathic & Osteopathic Physicians / Medical Toxicology 2080T0002X 01060973 Indiana

Profile Details

NPI number 1851444707
LBN Legal business name Froberg, Blake Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 26th, 2021 - about 4 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 1851444707 NPPES
Indiana MEDICAID 200875250
Indiana MEDICAID 3810016819
Indiana MEDICAID 469605

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