Freeman, Sue

Freeman, Sue is an individual health care provider with primary practice located at Hwy 160/163 Building Ka2010 , Kayenta AZ 86033-0368. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Freeman, Sue can be contacted via phone (928) 697-4000.

Contact Information

Primary practice address
Hwy 160/163 Building Ka2010 Kayenta AZ 86033-0368
Phone: (928) 697-4000
Fax: (928) 697-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 130438-030 Wisconsin

Profile Details

NPI number 1114106762
LBN Legal business name Freeman, Sue
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Apr 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114106762 NPPES
Arizona MEDICAID 060012

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