Healthcare Provider Details

I. General information

NPI: 1629973961
Provider Name (Legal Business Name): MARKUS FREEMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 KENILWORTH AVE NE
WASHINGTON DC
20019-2083
US

IV. Provider business mailing address

2309 GOOD HOPE CT SE APT 104
WASHINGTON DC
20020-3574
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-9389
  • Fax:
Mailing address:
  • Phone: 202-276-3369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: