Healthcare Provider Details

I. General information

NPI: 1265605885
Provider Name (Legal Business Name): FREEDOM MOTORS USA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2008
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 WATKINS RD
BATTLE CREEK MI
49015-8695
US

IV. Provider business mailing address

740 WATKINS RD
BATTLE CREEK MI
49015-8695
US

V. Phone/Fax

Practice location:
  • Phone: 269-660-1002
  • Fax: 269-660-5825
Mailing address:
  • Phone: 800-625-6335
  • Fax: 269-223-7110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberB004064
License Number StateMI

VIII. Authorized Official

Name: CORTNIE DYKSTRA
Title or Position: CFO
Credential:
Phone: 800-625-6335