Daniel P Freeman Md Pc | |
900 E Michigan Ave Ste 102 Jackson MI 49201-2490 | |
(517) 788-8408 | |
Not Available |
Full Name | Daniel P Freeman Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 900 E Michigan Ave Ste 102, Jackson, Michigan |
Authorized Official Name and Position | Daniel P Freeman (OWNER) |
Authorized Official Contact | 5177888408 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Daniel P Freeman Md Pc 900 E Michigan Ave Ste 102 Jackson MI 49201-2490 Ph: (517) 788-8408 | Daniel P Freeman Md Pc 900 E Michigan Ave Ste 102 Jackson MI 49201-2490 Ph: (517) 788-8408 |
NPI Number | 1255520573 |
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Provider Enumeration Date | 10/23/2007 |
Last Update Date | 11/28/2023 |
Certification Date | 11/14/2023 |
Medicare PECOS PAC ID | 3779545975 |
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Medicare Enrollment ID | O20041030000204 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255520573 | NPI | - | NPPES |
3238577 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 4301055814 (Michigan) | Primary |
Provider Name | Daniel P Freeman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1336107374 PECOS PAC ID: 1456313378 Enrollment ID: I20041108000129 |
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