MEDICARE: ALLISON L FREEMAN M.D.

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
1	2080P0201X	Pediatric Allergy/Immunology Physician	306604	NY
2	207K00000X	Allergy & Immunology Physician	0101053465	VA
3	2080P0201X	Pediatric Allergy/Immunology Physician	429162	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164415477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON L FREEMAN M.D.

Provider Business Mailing Address
First Line	:	1459 JOHNSTON WILLIS DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4730
Country	:	US
Telephone Number	:	804-794-9477
Fax Number	:	804-794-1793

Provider Business Practice Location Address
First Line	:	1459 JOHNSTON WILLIS DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4730
Country	:	US
Telephone Number	:	804-794-9477
Fax Number	:	804-794-1793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	11/01/2024

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Directions to “ ALLISON L FREEMAN M.D.” Practice Location

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