Freeman, Patricia
Freeman, Patricia is an sole proprietor health care provider with primary practice located at 3301 N Ballard Rd , Appleton WI 54911-8928. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Freeman, Patricia can be contacted via phone (920) 753-8816.Contact Information
Primary practice address
3301 N Ballard Rd
Appleton WI 54911-8928
Phone: (920) 753-8816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 179696-30 | Wisconsin |
Profile Details
| NPI number | 1902399058 |
|---|---|
| LBN Legal business name | Freeman, Patricia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2018 |
| Last updated | Jun 13th, 2018 - about 6 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 | 1902399058 | NPPES |
| Wisconsin | MEDICAID | 1467503193 |
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