Itenberg, Edwin Robert
Itenberg, Edwin Robert is an sole proprietor health care provider with primary practice located at 16001 W 9 Mile Rd Fisher Building 3Rd Floor, Southfield MI 48075-4818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Itenberg, Edwin Robert can be contacted via phone (248) 849-6030.Contact Information
Primary practice address
16001 W 9 Mile Rd Fisher Building 3Rd Floor
Southfield MI 48075-4818
Phone: (248) 849-6030
Fax: (248) 849-6039
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 5101019112 | Michigan |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101019112 | Michigan |
Profile Details
NPI number | 1255508487 |
---|---|
LBN Legal business name | Itenberg, Edwin Robert |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2008 |
Last updated | Dec 5th, 2012 - about 12 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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