Provider Demographics
NPI:1285380287
Name:FREEMAN, AUSTIN JOSEPH (DC)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:JOSEPH
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4109 SE 41ST ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-8125
Mailing Address - Country:US
Mailing Address - Phone:405-630-5381
Mailing Address - Fax:
Practice Address - Street 1:2276 36TH AVE NW STE 110
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3279
Practice Address - Country:US
Practice Address - Phone:405-630-5381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4473111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor