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NPI Code Detail

MEDICARE: MICHAEL FREEMAN

MEDICARE: MICHAEL FREEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1164194973
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL FREEMAN
Provider Business Mailing Address
First Line : 1569 STATE ROUTE 28
Second Line :
City : LOVELAND
State : OH
Zip : 45140-8429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1569 STATE ROUTE 28
Second Line :
City : LOVELAND
State : OH
Zip : 45140-8429
Country : US
Telephone Number : 513-575-0968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 09/30/2021

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Directions to “ MICHAEL FREEMAN ” Practice Location

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