Individual
JOSEPH R. FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8805
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 395-8855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15255
WV
207Q00000X
Family Medicine Physician
Primary
34-00-5520
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007537
ANTHEM BCBS
—
01
—
000000181664
UNISON MEDICAID
OH
01
—
001714068
MOUNTAIN STATE BCBS
—
05
—
0045424000
—
WV
01
—
080060595
RR MEDICARE
—
01
—
0990843
MOLINA MEDICAID
OH
05
—
0990843
—
OH
01
—
310917085099
CARESOURCE MEDICAID
OH
Enumeration date
05/24/2006
Last updated
08/07/2014
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