Healthcare Provider Details

I. General information

NPI: 1598802498
Provider Name (Legal Business Name): FREED CHIROPRACTIC CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
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

PO BOX 1255
ATHENS OH
45701-1255
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC F FREED
Title or Position: OWNER
Credential: DC
Phone: 740-589-2225