Froehly, Bertram Martin

Froehly, Bertram Martin is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Froehly, Bertram Martin can be contacted via phone (951) 782-6218.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2615
Phone: (951) 782-6218
Fax: (951) 784-3266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G32976 California

Profile Details

NPI number 1114908597
LBN Legal business name Froehly, Bertram Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Dec 2nd, 2011 - about 15 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 1114908597 NPPES
Other ZZZ3188Z7Z GROUP SITE NUMBER

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