Provider Demographics
NPI:1194593863
Name:FREEMAN-JONES, CINCERE LORENZ
Entity type:Individual
Prefix:
First Name:CINCERE
Middle Name:LORENZ
Last Name:FREEMAN-JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 AMARILLO ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6109
Mailing Address - Country:US
Mailing Address - Phone:330-412-2482
Mailing Address - Fax:
Practice Address - Street 1:2111 AMARILLO ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6109
Practice Address - Country:US
Practice Address - Phone:330-412-2482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer