Freeman, Jennifer L

Freeman, Jennifer L is an individual health care provider with primary practice located at 1150 State Highway 248 Suite 202, Branson MO 65616-3758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Freeman, Jennifer L can be contacted via phone (417) 348-8964.

Contact Information

Primary practice address
1150 State Highway 248 Suite 202 Branson MO 65616-3758
Phone: (417) 348-8964
Fax: (417) 336-0275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2010031549 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27666 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26612 Oklahoma

Profile Details

NPI number 1487684015
LBN Legal business name Freeman, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 25th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487684015 NPPES
Kansas MEDICAID 100355930A
Kansas Other 12149433
Kansas Other 12721
Kansas Other 17012
Kansas Other 057913
Kansas Other 109998
Kansas MEDICAID 200212490A

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