Fraiberg, Elliott

Fraiberg, Elliott is an individual health care provider with primary practice located at 44555 Woodward Ave Suite Number 304, Pontiac MI 48341-5031. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Fraiberg, Elliott can be contacted via phone (248) 858-3878.

Contact Information

Primary practice address
44555 Woodward Ave Suite Number 304 Pontiac MI 48341-5031
Phone: (248) 858-3878
Fax: (248) 858-3813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X EF029336 Michigan

Profile Details

NPI number 1134120629
LBN Legal business name Fraiberg, Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 11th, 2007 - about 18 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 1134120629 NPPES
Michigan MEDICAID 1090479
Michigan Other P46690

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