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

Primary practice address
20942 Spinnaker St Bend OR 97701-8428
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588727770 NPPES
California Other HB994A MEDICARE

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