Freeman, Douglas Clark

Freeman, Douglas Clark is an individual health care provider with primary practice located at 201 23Rd Ave Sw Suite 102, Rochester MN 55902-2479. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Freeman, Douglas Clark can be contacted via phone (507) 322-4241.

Contact Information

Primary practice address
201 23Rd Ave Sw Suite 102 Rochester MN 55902-2479
Phone: (507) 322-4241
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2178 Minnesota

Profile Details

NPI number 1194173617
LBN Legal business name Freeman, Douglas Clark
Credentials M.S.; CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2016
Last updated May 25th, 2016 - about 9 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 1194173617 NPPES
Minnesota MEDICAID 187265600

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