Freeman, Tijuana Lisette
Freeman, Tijuana Lisette is an individual health care provider with primary practice located at 3650 Groveland Rd , Ocean Springs MS 39564-5753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Freeman, Tijuana Lisette can be contacted via phone (228) 875-0780.Contact Information
Primary practice address
3650 Groveland Rd
Ocean Springs MS 39564-5753
Phone: (228) 875-0780
Fax: (228) 875-1009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15040 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-1828 | Arkansas |
Profile Details
| NPI number | 1952366080 |
|---|---|
| LBN Legal business name | Freeman, Tijuana Lisette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Dec 29th, 2011 - about 15 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 | 1952366080 | NPPES |
| Arkansas | MEDICAID | 135418001 | |
| Arkansas | Other | 1832000000 | |
| Arkansas | Other | 1222017 |
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