Freeman, John C
Freeman, John C is an individual health care provider with primary practice located at 1510 12Th Ave Rd , Nampa ID 83686-6008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Freeman, John C can be contacted via phone (208) 302-6800.Contact Information
Primary practice address
1510 12Th Ave Rd
Nampa ID 83686-6008
Phone: (208) 302-6800
Fax: (208) 302-6855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M10239 | Idaho |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M10239 | Idaho |
Profile Details
| NPI number | 1437279031 |
|---|---|
| LBN Legal business name | Freeman, John C |
| Credentials | MEDICAL DOCTOR-MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Mar 5th, 2024 - about 9 months 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 | 1437279031 | NPPES |
| Other | P00652182 | RAILROAD MEDICARE | |
| MEDICAID | 8080229 | RAILROAD MEDICARE |
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