Individual
DR. JOHN TODD FREESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
229 N MAIN ST, GORDON, NE 69343-1277
(308) 282-1154
(308) 282-1156
Mailing address
229 N MAIN ST, GORDON, NE 69343-1277
(308) 282-1154
(308) 282-1156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1186
NE
111N00000X
Chiropractor
988
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09633
BLUE CROSSS/BLUE SHIELD
NE
05
—
100250653-00
—
NE
05
—
7601223
—
SD
Enumeration date
10/28/2005
Last updated
10/16/2007
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