Fried, Jeffrey Charles

Fried, Jeffrey Charles is an sole proprietor health care provider with primary practice located at Santa Barbara Cottage Hospital Pueblo At Bath Streets, Room 4 North 05, Santa Barbara CA 93105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Fried, Jeffrey Charles can be contacted via phone (805) 569-7460.

Contact Information

Primary practice address
Santa Barbara Cottage Hospital Pueblo At Bath Streets, Room 4 North 05 Santa Barbara CA 93105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G50207 California

Profile Details

NPI number 1891869327
LBN Legal business name Fried, Jeffrey Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1891869327 NPPES
California Other 00G502070 INDIVIDUAL BLUE SHIELD
California MEDICAID 00G502070 INDIVIDUAL BLUE SHIELD
California Other 00G502070 INDIVIDUAL BLUE SHIELD

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