Froebel, Beau
Froebel, Beau is an individual health care provider with primary practice located at 2 Farm Colony Dr , Warren PA 16365-5203. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Froebel, Beau can be contacted via phone (716) 484-6700.Contact Information
Primary practice address
2 Farm Colony Dr
Warren PA 16365-5203
Phone: (716) 484-6700
Fax: (716) 487-0166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD472023 | Pennsylvania |
Profile Details
| NPI number | 1780115493 |
|---|---|
| LBN Legal business name | Froebel, Beau |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Sep 28th, 2021 - about 5 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 | 1780115493 | NPPES |
| New York | MEDICAID | 06362867 | |
| New York | MEDICAID | 103854010 |
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