Freeman, Charles G.

Freeman, Charles G. is an individual health care provider with primary practice located at 1400 Us Highway 61 Suite 340, Festus MO 63028-4100. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Freeman, Charles G. can be contacted via phone (636) 937-1545.

Contact Information

Primary practice address
1400 Us Highway 61 Suite 340 Festus MO 63028-4100
Phone: (636) 937-1545
Fax: (636) 937-8995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R9916 Missouri

Profile Details

NPI number 1528150083
LBN Legal business name Freeman, Charles G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 1st, 2014 - about 12 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 1528150083 NPPES
Missouri MEDICAID 201490927

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