1538283106 NPI number — LINDSEY M FREEMAN PA-C

Table of content: LINDSEY M FREEMAN PA-C (NPI 1538283106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538283106 NPI number — LINDSEY M FREEMAN PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FREEMAN
Provider First Name:
LINDSEY
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FREEMAN
Provider Other First Name:
LINDSEY
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538283106
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 268838
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73126-8838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-660-3632
Provider Business Mailing Address Fax Number:
918-660-3631

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4444 E 41ST ST
Provider Second Line Business Practice Location Address:
2ND FLOOR, STE A
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74135-2527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-619-4400
Provider Business Practice Location Address Fax Number:
918-619-4334
Provider Enumeration Date:
03/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  1590 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200103660A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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