Friedland, Jack A

Friedland, Jack A is an sole proprietor health care provider with primary practice located at 5410 N Scottsdale Road Suite E200, Paradise Valley AZ 85253-5945. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Friedland, Jack A can be contacted via phone (480) 905-1700.

Contact Information

Primary practice address
5410 N Scottsdale Road Suite E200 Paradise Valley AZ 85253-5945
Phone: (480) 905-1700
Fax: (480) 505-6429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 5939 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 5939 Arizona

Profile Details

NPI number 1417944661
LBN Legal business name Friedland, Jack A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated May 25th, 2016 - about 8 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 1417944661 NPPES
Arizona MEDICAID 201252
Arizona Other AZ0779280

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