Freund, Edmund A

Freund, Edmund A is an individual health care provider with primary practice located at 1901 W Kettleman Ln Suite 200, Lodi CA 95242-4337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Freund, Edmund A can be contacted via phone (209) 334-8540.

Contact Information

Primary practice address
1901 W Kettleman Ln Suite 200 Lodi CA 95242-4337
Phone: (209) 334-8540
Fax: (209) 368-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A34171 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A34171 California

Profile Details

NPI number 1740237155
LBN Legal business name Freund, Edmund A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 6th, 2011 - about 14 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 1740237155 NPPES
California MEDICAID 00A341710

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