Oldenburg, Frederick A
Oldenburg, Frederick A is an individual health care provider with primary practice located at 417 State St Ste 400, Bangor ME 04401-6690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Oldenburg, Frederick A can be contacted via phone (207) 942-6096.Contact Information
Primary practice address
417 State St Ste 400
Bangor ME 04401-6690
Phone: (207) 942-6096
Fax: (207) 973-8857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 009401 | Maine |
Profile Details
| NPI number | 1083662571 |
|---|---|
| LBN Legal business name | Oldenburg, Frederick A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 7th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083662571 | NPPES |
| Maine | Other | 000559 | BLUE CROSS |
| Maine | MEDICAID | 320260099 | BLUE CROSS |
| Maine | Other | 110046889 | BLUE CROSS |
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