Friedman, Gerald Alan

Friedman, Gerald Alan is an individual health care provider with primary practice located at 13326 N Blvd , Vicksburg MI 49097-1514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Friedman, Gerald Alan can be contacted via phone (269) 649-2321.

Contact Information

Primary practice address
13326 N Blvd Vicksburg MI 49097-1514
Phone: (269) 649-2321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301043834 Michigan

Profile Details

NPI number 1346217445
LBN Legal business name Friedman, Gerald Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 11th, 2014 - about 10 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 1346217445 NPPES
Michigan Other 010C96065 BCBS
Michigan Other 1417961137 BCBS
Michigan MEDICAID 1346217445 BCBS
Michigan MEDICAID 3209495 BCBS
Michigan Other C20578 BCBS

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