Freeman, Kyle Fredrik
Freeman, Kyle Fredrik is an sole proprietor health care provider with primary practice located at 20942 Spinnaker St , Bend OR 97701-8428. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Freeman, Kyle Fredrik can be contacted via phone (541) 640-1160.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L6011 | Oregon |
Profile Details
| NPI number | 1588727770 |
|---|---|
| LBN Legal business name | Freeman, Kyle Fredrik |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 18th, 2023 - about last year |
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 | 1588727770 | NPPES |
| California | Other | HB994A | MEDICARE |
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