MEDICARE: FREEMAN CHIROPRACTIC CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00196300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548214554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEMAN CHIROPRACTIC CARE LLC

Provider Business Mailing Address
First Line	:	16 ROOSEVELT BLVD
Second Line	:	SUITE A
City	:	MARMORA
State	:	NJ
Zip	:	08223-1402
Country	:	US
Telephone Number	:	609-390-0571
Fax Number	:	609-390-8871

Provider Business Practice Location Address
First Line	:	16 ROOSEVELT BLVD
Second Line	:	SUITE A
City	:	MARMORA
State	:	NJ
Zip	:	08223-1402
Country	:	US
Telephone Number	:	609-390-0571
Fax Number	:	609-390-8871

Authorized Official
Title or Position	:	OWNER (SOLE PROPRIETOR)
Name	:	DR. JEFFREY SCOTT FREEMAN
Credential	:	D.C.
Telephone Number	:	609-390-0571

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/22/2020

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