Freeman, Earl R
Freeman, Earl R is an sole proprietor health care provider with primary practice located at 21 Western Ave # A , Kennebunk ME 04043-7354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Freeman, Earl R can be contacted via phone (207) 967-3726.Contact Information
Primary practice address
21 Western Ave # A
Kennebunk ME 04043-7354
Phone: (207) 967-3726
Fax: (207) 967-3702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 835 | Maine |
Profile Details
| NPI number | 1235163890 |
|---|---|
| LBN Legal business name | Freeman, Earl R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| 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 | 1235163890 | NPPES |
| Maine | Other | 060928 | ANTHEM BX/BS |
| Maine | MEDICAID | 206880000 | ANTHEM BX/BS |
| Maine | Other | 352215816 | ANTHEM BX/BS |
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