Itenberg, Edwin Robert

Itenberg, Edwin Robert is an sole proprietor health care provider with primary practice located at 16001 W 9 Mile Rd Fisher Building 3Rd Floor, Southfield MI 48075-4818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Itenberg, Edwin Robert can be contacted via phone (248) 849-6030.

Contact Information

Primary practice address
16001 W 9 Mile Rd Fisher Building 3Rd Floor Southfield MI 48075-4818
Phone: (248) 849-6030
Fax: (248) 849-6039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 5101019112 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101019112 Michigan

Profile Details

NPI number 1255508487
LBN Legal business name Itenberg, Edwin Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated Dec 5th, 2012 - about 13 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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