Freeman, Larry Steven

Freeman, Larry Steven is an individual health care provider with primary practice located at James H. Quillen Va Medical Center , Mountain Home TN 37684. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is his primary health care specialty. Freeman, Larry Steven can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
James H. Quillen Va Medical Center Mountain Home TN 37684
Phone: (423) 926-1171
Fax: (423) 979-3414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 526609 Tennessee
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 337987 Minnesota
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X 037775 Georgia

Profile Details

NPI number 1144650516
LBN Legal business name Freeman, Larry Steven
Credentials ARRT (R), CNMT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2013
Last updated Nov 20th, 2013 - about 12 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 1144650516 NPPES
Georgia Other 037775 NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION
Georgia Other MDX0000008167 NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION
Georgia Other 337987 NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION

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