Freeeman, Richard Wayne

Freeeman, Richard Wayne is an individual health care provider with primary practice located at 550 6Th Ave North , Wolf Point MT 59201-0729. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as his primary health care specialty. Freeeman, Richard Wayne can be contacted via phone (406) 653-1641.

Contact Information

Primary practice address
550 6Th Ave North Wolf Point MT 59201-0729
Fax: (406) 653-3728
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X 190326 Oklahoma

Profile Details

NPI number 1801209655
LBN Legal business name Freeeman, Richard Wayne
Credentials BS MT(ASCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2014 - about 10 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 1801209655 NPPES
Montana MEDICAID 9990118

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