MRS. DIANE ELIZABETH FREEMAN OTR NPI 1003000605

Specialist in Davison, MI

About DIANE FREEMAN

Diane Freeman is a provider in Davison, MI. The NPI number assigned to this provider is 1003000605. The practitioner's primary taxonomy code is Specialist (174400000X). The provider is registered as an individual and their NPI record was last updated 7 years ago.

NPI

1003000605

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMRS. DIANE ELIZABETH FREEMAN OTR
Provider Location Address11035 E RICHFIELD RD DAVISON, MI 48423 Additional informationCallout TooltipProvider 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 Address11035 E RICHFIELD RD DAVISON, MI 48423 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date08-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-26-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

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

Primary Taxonomy

Taxonomy Code174400000X Additional informationCallout TooltipPrimary 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.
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.
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