Healthcare Provider Details

I. General information

NPI: 1275308298
Provider Name (Legal Business Name): BRITTANY LEANN FREEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25701 N LAKELAND BLVD STE 403
EUCLID OH
44132-2453
US

IV. Provider business mailing address

17010 KENYON RD
SHAKER HEIGHTS OH
44120-3741
US

V. Phone/Fax

Practice location:
  • Phone: 216-273-7000
  • Fax:
Mailing address:
  • Phone: 224-772-4473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: