Frumkin, Michael A

Frumkin, Michael A is an sole proprietor health care provider with primary practice located at 30 Newport Way , San Rafael CA 94901-4411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Frumkin, Michael A can be contacted via phone (315) 415-6865.

Contact Information

Primary practice address
30 Newport Way San Rafael CA 94901-4411
Phone: (315) 415-6865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 124060 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G89133 California

Profile Details

NPI number 1154382158
LBN Legal business name Frumkin, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Jan 15th, 2015 - about 9 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 1154382158 NPPES
New York MEDICAID 00801872

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