Freeman, Larry Steven
Freeman, Larry Steven is an individual health care provider with primary practice located at James H. Quillen Va Medical Center , Mountain Home TN 37684. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is his primary health care specialty. Freeman, Larry Steven can be contacted via phone (423) 926-1171.Contact Information
Primary practice address
James H. Quillen Va Medical Center
Mountain Home TN 37684
Phone: (423) 926-1171
Fax: (423) 979-3414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | 526609 | Tennessee |
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | 337987 | Minnesota |
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology | 2471N0900X | 037775 | Georgia |
Profile Details
NPI number | 1144650516 |
---|---|
LBN Legal business name | Freeman, Larry Steven |
Credentials | ARRT (R), CNMT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 20th, 2013 |
Last updated | Nov 20th, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144650516 | NPPES |
Georgia | Other | 037775 | NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION |
Georgia | Other | MDX0000008167 | NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION |
Georgia | Other | 337987 | NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION |
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