Friedman, Jennifer Diane

Friedman, Jennifer Diane is an individual health care provider with primary practice located at 2900 E 29Th St Ste 200 , Bryan TX 77802-2623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Friedman, Jennifer Diane can be contacted via phone (979) 776-8440.

Contact Information

Primary practice address
2900 E 29Th St Ste 200 Bryan TX 77802-2623
Fax: (979) 776-6905
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M2621 Texas

Profile Details

NPI number 1790893600
LBN Legal business name Friedman, Jennifer Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 15th, 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 1790893600 NPPES
Texas MEDICAID 184131402

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