Freeman, Mary Jo
Freeman, Mary Jo is an individual health care provider with primary practice located at 425 Pine Ridge Blvd Suite 305B, Wausau WI 54401-4123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Freeman, Mary Jo can be contacted via phone (715) 847-2036.Contact Information
Primary practice address
425 Pine Ridge Blvd Suite 305B
Wausau WI 54401-4123
Phone: (715) 847-2036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20821 | Wisconsin |
Profile Details
| NPI number | 1356369581 |
|---|---|
| LBN Legal business name | Freeman, Mary Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 15th, 2009 - about 17 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 | 1356369581 | NPPES |
| Wisconsin | MEDICAID | 30260300 |
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