Frankenberg, Fred Wayne

Frankenberg, Fred Wayne is an individual health care provider with primary practice located at 101 Dates Dr , Ithaca NY 14850-1342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Frankenberg, Fred Wayne can be contacted via phone (607) 274-4011.

Contact Information

Primary practice address
101 Dates Dr Ithaca NY 14850-1342
Fax: (607) 274-4198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 81752 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 267226 New York

Profile Details

NPI number 1669436911
LBN Legal business name Frankenberg, Fred Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 26th, 2023 - about 2 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 1669436911 NPPES
Georgia MEDICAID 003212153A
Georgia MEDICAID 266291400
Georgia Other 364516922
Georgia Other ME86861
Georgia Other 57648

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