MRS. DIANE ELIZABETH FREEMAN OTR NPI 1003000605

Specialist in Davison, MI

Individual Female Specialist

About DIANE FREEMAN

Diane Freeman is a provider established in Davison, Michigan and her medical specialization is specialist. The NPI number of Diane Freeman is 1003000605 and was assigned on August 2007. The practitioner's primary taxonomy code is 174400000X with license number 5201003946 (MI). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI

1003000605

Provider NameMRS. DIANE ELIZABETH FREEMAN OTR
Provider Location Address11035 E RICHFIELD RD DAVISON, MI 48423
Provider Mailing Address11035 E RICHFIELD RD DAVISON, MI 48423
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-28-2007
Last Update Date04-26-2011

Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.5201003946
License StateMI
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

MRS. DIANE ELIZABETH FREEMAN OTR
11035 E RICHFIELD RD
DAVISON, MI
ZIP 48423
Phone: (810) 654-2422

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Mailing Address

MRS. DIANE ELIZABETH FREEMAN OTR
11035 E RICHFIELD RD
DAVISON, MI
ZIP 48423
Phone: (810) 654-2422

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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