Sosa, Freddy R

Sosa, Freddy R is an sole proprietor health care provider with primary practice located at 22250 Providence Dr Suite 703, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sosa, Freddy R can be contacted via phone (248) 569-1770.

Contact Information

Primary practice address
22250 Providence Dr Suite 703 Southfield MI 48075-4825
Phone: (248) 569-1770
Fax: (248) 443-2439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301029937 Michigan

Profile Details

NPI number 1003856410
LBN Legal business name Sosa, Freddy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Apr 22nd, 2014 - about 11 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 1003856410 NPPES
Michigan MEDICAID 1051407
Michigan Other B45138
Michigan MEDICAID 104308845
Michigan Other 1S0638265
Michigan Other 5133233
Michigan Other 110638265
Michigan Other 0638265
Michigan Other 2437498
Michigan Other 0638265
Michigan Other 110Q262840

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