Individual
MR. JONATHAN ERIC FREIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2542 SOMERSET CENTER DR, WINSTON SALEM, NC 27103-6766
(336) 918-4545
Mailing address
2542 SOMERSET CENTER DR, WINSTON SALEM, NC 27103-6766
(336) 918-4545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
601457521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D00220294
STATE DRIVER'S LICENSE
AZ
Enumeration date
01/27/2023
Last updated
01/27/2023
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