Freeberg, Susan E
Freeberg, Susan E is an sole proprietor health care provider with primary practice located at 123 Fox Rd , Knoxville TN 37922-3369. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Freeberg, Susan E can be contacted via phone (865) 690-9467.Contact Information
Primary practice address
123 Fox Rd
Knoxville TN 37922-3369
Phone: (865) 690-9467
Fax: (865) 637-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD0000024093 | Tennessee |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD0000024093 | Tennessee |
Profile Details
| NPI number | 1932165370 |
|---|---|
| LBN Legal business name | Freeberg, Susan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 4th, 2020 - about 4 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 | 1932165370 | NPPES |
| Tennessee | MEDICAID | Q053674 |
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