Provider Demographics
NPI:1154189835
Name:FREEMAN, JOSEPH (LPN)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 JEWETT ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2928
Mailing Address - Country:US
Mailing Address - Phone:978-882-5683
Mailing Address - Fax:
Practice Address - Street 1:16 JEWETT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2928
Practice Address - Country:US
Practice Address - Phone:978-882-5683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN90684164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse