Freeman, Ira Norman

Freeman, Ira Norman is an sole proprietor health care provider with primary practice located at 12660 Riverside Dr Suite 100, Valley Village CA 91607-3429. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Freeman, Ira Norman can be contacted via phone (818) 509-3630.

Contact Information

Primary practice address
12660 Riverside Dr Suite 100 Valley Village CA 91607-3429
Phone: (818) 509-3630
Fax: (818) 509-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 23208 California

Profile Details

NPI number 1528055472
LBN Legal business name Freeman, Ira Norman
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Apr 8th, 2014 - about 11 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 1528055472 NPPES
California MEDICAID PHA441540

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