Freese, Daniel Jonathan

Freese, Daniel Jonathan is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Freese, Daniel Jonathan can be contacted via phone (303) 776-1234.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42783 Colorado
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A-1716-12 New Mexico

Profile Details

NPI number 1144200296
LBN Legal business name Freese, Daniel Jonathan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 25th, 2016 - about 10 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 1144200296 NPPES
New Mexico MEDICAID 02073048
New Mexico Other 266636YM5A
New Mexico MEDICAID 68473711

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