Freiberg, Mark Roger
Freiberg, Mark Roger is an individual health care provider with primary practice located at 255 Smith Ave N Suite 300, Saint Paul MN 55102-2572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Freiberg, Mark Roger can be contacted via phone (651) 726-6200.Contact Information
Primary practice address
255 Smith Ave N Suite 300
Saint Paul MN 55102-2572
Phone: (651) 726-6200
Fax: (651) 726-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 32862 | Minnesota |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 32862 | Minnesota |
Profile Details
| NPI number | 1770536450 |
|---|---|
| LBN Legal business name | Freiberg, Mark Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 10th, 2020 - about 4 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 | 1770536450 | NPPES |
| Minnesota | MEDICAID | 192598900 |
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