Fishbein, Keith

Fishbein, Keith is an individual health care provider with primary practice located at 23831 Marbella Bay Rd Suite 102, Bonita Springs FL 34135-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fishbein, Keith can be contacted via phone (239) 494-8404.

Contact Information

Primary practice address
23831 Marbella Bay Rd Suite 102 Bonita Springs FL 34135-1830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA04065700 New Jersey

Profile Details

NPI number 1407851207
LBN Legal business name Fishbein, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated May 18th, 2009 - about 16 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 1407851207 NPPES
New Jersey Other 4096206 AETNA PPO #
New Jersey Other 0031965000 AETNA PPO #
New Jersey Other F06621 AETNA PPO #
New Jersey Other MES208 AETNA PPO #
New Jersey Other 1130611 AETNA PPO #
New Jersey Other 222908710 AETNA PPO #
New Jersey Other 34706 AETNA PPO #
New Jersey MEDICAID 0176206 AETNA PPO #

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