Freeman, Doreen Elizabeth
Freeman, Doreen Elizabeth is an sole proprietor health care provider with primary practice located at 229 Crockett Blvd , Merritt Island FL 32953-4384. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Freeman, Doreen Elizabeth can be contacted via phone (321) 449-0833.Contact Information
Primary practice address
229 Crockett Blvd
Merritt Island FL 32953-4384
Phone: (321) 449-0833
Fax: (321) 449-0832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 4389 | Florida |
Profile Details
| NPI number | 1396348231 |
|---|---|
| LBN Legal business name | Freeman, Doreen Elizabeth |
| Credentials | RDH BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2020 |
| Last updated | Nov 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396348231 | NPPES |
| Florida | MEDICAID | DF1112MI |
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