Freedman, Evan
Freedman, Evan is an individual health care provider with primary practice located at 14520 W Granite Valley Dr Ste 120 , Sun City West AZ 85375-5855. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Freedman, Evan can be contacted via phone (866) 974-2673.Contact Information
Primary practice address
14520 W Granite Valley Dr Ste 120
Sun City West AZ 85375-5855
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 005906 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 005906 | Arizona |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 005906 | Arizona |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 005906 | Arizona |
Profile Details
| NPI number | 1184835613 |
|---|---|
| LBN Legal business name | Freedman, Evan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184835613 | NPPES |
| Arizona | Other | 005906 | AZ MEDICAL LICENSE |
| Arizona | MEDICAID | 710004 | AZ MEDICAL LICENSE |
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