Healthcare Provider Details

I. General information

NPI: 1104812908
Provider Name (Legal Business Name): ERIC F FREED D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 W STIMSON AVE
ATHENS OH
45701-2647
US

IV. Provider business mailing address

739 CAMPBELL DR
BELPRE OH
45714-1217
US

V. Phone/Fax

Practice location:
  • Phone: 740-589-2225
  • Fax: 740-589-2220
Mailing address:
  • Phone: 304-481-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3193
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: