Freeman, Mark Edward

Freeman, Mark Edward is an sole proprietor health care provider with primary practice located at 1855 Madison Avenue , Idaho Falls ID 83404. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Freeman, Mark Edward can be contacted via phone (208) 881-5351.

Contact Information

Primary practice address
1855 Madison Avenue Idaho Falls ID 83404
Fax: (208) 881-5351
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M10224 Idaho

Profile Details

NPI number 1275552291
LBN Legal business name Freeman, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Feb 8th, 2021 - about 3 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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