Freeborn, Andrew Wallace
Freeborn, Andrew Wallace is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684-2345. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Freeborn, Andrew Wallace can be contacted via phone (231) 935-7514.Contact Information
Primary practice address
1105 Sixth St
Traverse City MI 49684-2345
Phone: (231) 935-7514
Fax: (231) 392-0039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5601005642 | Michigan |
Profile Details
| NPI number | 1508190851 |
|---|---|
| LBN Legal business name | Freeborn, Andrew Wallace |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2009 |
| Last updated | Feb 28th, 2024 - about last year |
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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