Friedenberg, Keith Alan

Friedenberg, Keith Alan is an individual health care provider with primary practice located at 8877 Mentor Ave , Mentor OH 44060-6211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Friedenberg, Keith Alan can be contacted via phone (440) 205-1225.

Contact Information

Primary practice address
8877 Mentor Ave Mentor OH 44060-6211
Fax: (440) 205-1275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35067316 Ohio

Profile Details

NPI number 1104928043
LBN Legal business name Friedenberg, Keith Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Mar 16th, 2018 - about 7 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 1104928043 NPPES
Ohio MEDICAID 0985180

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