Corey, Freeman R.

Corey, Freeman R. is an sole proprietor health care provider with primary practice located at 7 Hatch Dr Suite 240, Caribou ME 04736-2159. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Corey, Freeman R. can be contacted via phone (207) 498-2400.

Contact Information

Primary practice address
7 Hatch Dr Suite 240 Caribou ME 04736-2159
Phone: (207) 498-2400
Fax: (207) 498-2400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC901 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCS3537 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC3744 Maine

Profile Details

NPI number 1053479915
LBN Legal business name Corey, Freeman R.
Credentials LCSW, LADC, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Feb 2nd, 2016 - about 8 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 1053479915 NPPES
Maine Other 098153 ANTHEM BCBS NUMBER
Maine MEDICAID 431586399 ANTHEM BCBS NUMBER

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