Freel, Douglas John

Freel, Douglas John is an individual health care provider with primary practice located at 1118 Hampshire St , Quincy IL 62301-3027. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Freel, Douglas John can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1118 Hampshire St Quincy IL 62301-3027
Phone: (217) 222-6550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000712 Missouri
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016-003720 Illinois

Profile Details

NPI number 1184614653
LBN Legal business name Freel, Douglas John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Nov 9th, 2020 - about 5 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 1184614653 NPPES
Missouri MEDICAID 1184614653
Missouri Other 00132005
Missouri Other 3074226001
Missouri Other 009464
Missouri Other 127214

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