Healthcare Provider Details

I. General information

NPI: 1952831570
Provider Name (Legal Business Name): ADAM FREEMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 S 121ST PLZ
OMAHA NE
68137-2132
US

IV. Provider business mailing address

3605 N 147TH ST STE 106
OMAHA NE
68116-8237
US

V. Phone/Fax

Practice location:
  • Phone: 402-230-7082
  • Fax:
Mailing address:
  • Phone: 402-715-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1903
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: