Friedenstab, Allen Paul

Friedenstab, Allen Paul is an individual health care provider with primary practice located at 777 37Th St Ste C101 , Vero Beach FL 32960-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Friedenstab, Allen Paul can be contacted via phone (772) 562-6566.

Contact Information

Primary practice address
777 37Th St Ste C101 Vero Beach FL 32960-7301
Fax: (772) 562-6570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME46913 Florida

Profile Details

NPI number 1689644064
LBN Legal business name Friedenstab, Allen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689644064 NPPES
Florida Other K0449 MEDICARE GROUP NUMBER
Florida Other 160040632 MEDICARE GROUP NUMBER
Florida Other 62613 MEDICARE GROUP NUMBER

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