Freeman, Martha Suzanne

Freeman, Martha Suzanne is an individual health care provider with primary practice located at 431 Reges Rd , Irvine KY 40336-8442. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Freeman, Martha Suzanne can be contacted via phone (859) 361-9678.

Contact Information

Primary practice address
431 Reges Rd Irvine KY 40336-8442
Phone: (859) 361-9678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1067902 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3014803 Kentucky

Profile Details

NPI number 1760006217
LBN Legal business name Freeman, Martha Suzanne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2020
Last updated Nov 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760006217 NPPES
Kentucky MEDICAID 7100723690

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