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Individual
MR. STEPHEN FREEMAN
Active
Individual
MR. STEPHEN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
19451
MD
225100000X
Physical Therapist
Primary
19451
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023348001
—
MD
01
—
1939107
UNITEDHEALTHCARE PROVIDER
—
01
—
310822
MDIPA, MAMSI, OPT CHOICE
—
01
—
44565
IWIF PROVIDER NUMBER
—
01
—
47610189
CAREFIRST BCBS PROVIDER #
—
01
—
69772203
BCBS REGION RENDERING #
MD
01
—
7647074
AETNA PROVIDER NUMBER
—
Enumeration date
01/16/2007
Last updated
10/17/2016
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