Individual
DR. JEREMIAH EZRA FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3624 W MARKET ST, SUITE 101, FAIRLAWN, OH 44333-4510
(330) 670-9400
(330) 670-9401
Mailing address
3624 W MARKET ST, SUITE 101, FAIRLAWN, OH 44333-4510
(330) 670-9400
(330) 670-9401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3312
OH
111NI0900X
Internist Chiropractor
3312
OH
111NN0400X
Neurology Chiropractor
3312
OH
111NN1001X
Nutrition Chiropractor
3312
OH
111NR0200X
Radiology Chiropractor
3312
OH
111NR0400X
Rehabilitation Chiropractor
3312
OH
111NS0005X
Sports Physician Chiropractor
3312
OH
111NT0100X
Thermography Chiropractor
3312
OH
111NX0100X
Occupational Health Chiropractor
3312
OH
111NX0800X
Orthopedic Chiropractor
3312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314225
ANTHEM BC BS
OH
Enumeration date
12/05/2006
Last updated
12/12/2012
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