Freeman, Deborah M
Freeman, Deborah M is an individual health care provider with primary practice located at 30 Uno Cir , Joliet IL 60435-6632. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Freeman, Deborah M can be contacted via phone (815) 773-0766.Contact Information
Primary practice address
30 Uno Cir
Joliet IL 60435-6632
Phone: (815) 773-0766
Fax: (815) 773-0764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036055504 | Illinois |
Profile Details
| NPI number | 1922158617 |
|---|---|
| LBN Legal business name | Freeman, Deborah M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922158617 | NPPES |
| Illinois | MEDICAID | 036055504 | |
| Illinois | Other | 0009926176 | |
| Illinois | Other | 14D0974334 |
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