Maidenberg, Amy M.
Maidenberg, Amy M. is an sole proprietor health care provider with primary practice located at 4329 Piedmont Ave , Oakland CA 94611-4715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maidenberg, Amy M. can be contacted via phone (510) 418-9331.Contact Information
Primary practice address
4329 Piedmont Ave
Oakland CA 94611-4715
Phone: (510) 418-9331
Fax: (888) 844-4383
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00040212 | Washington |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A98623 | California |
Profile Details
NPI number | 1265420244 |
---|---|
LBN Legal business name | Maidenberg, Amy M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 12th, 2005 |
Last updated | Jan 26th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265420244 | NPPES |
Washington | MEDICAID | 8373482 |
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