Provider Demographics
NPI:1043669294
Name:FREEMAN, WILLIAM JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9770 HIGHWAY 69 S
Mailing Address - Street 2:UNIT A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-8781
Mailing Address - Country:US
Mailing Address - Phone:205-409-6333
Mailing Address - Fax:205-409-6346
Practice Address - Street 1:9770 HIGHWAY 69 S
Practice Address - Street 2:UNIT A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-8781
Practice Address - Country:US
Practice Address - Phone:205-409-6333
Practice Address - Fax:205-409-6346
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2504Medicare PIN