Provider Demographics
NPI:1548330293
Name:FREIHOFNER, ANTON III (MD)
Entity type:Individual
Prefix:DR
First Name:ANTON
Middle Name:
Last Name:FREIHOFNER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E BROAD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3934
Mailing Address - Country:US
Mailing Address - Phone:614-221-6870
Mailing Address - Fax:614-221-6890
Practice Address - Street 1:595 E BROAD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3934
Practice Address - Country:US
Practice Address - Phone:614-221-6870
Practice Address - Fax:614-221-6890
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35057839F207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0110141OtherUHC
G87468Medicare UPIN