Fridrich, Robert E
Fridrich, Robert E is an sole proprietor health care provider with primary practice located at 518 E Whitehouse Canyon Rd 170 , Green Valley AZ 85614-0544. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fridrich, Robert E can be contacted via phone (520) 648-0444.Contact Information
Primary practice address
518 E Whitehouse Canyon Rd 170
Green Valley AZ 85614-0544
Phone: (520) 648-0444
Fax: (520) 648-6920
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 203 | Arizona |
Profile Details
NPI number | 1912901380 |
---|---|
LBN Legal business name | Fridrich, Robert E |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2005 |
Last updated | Apr 27th, 2016 - about 9 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 | 1912901380 | NPPES |
Arizona | MEDICAID | 189812 | |
Arizona | Other | DB8932 |
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