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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780115493 NPPES
New York MEDICAID 06362867
New York MEDICAID 103854010

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