Provider Demographics
NPI:1235178088
Name:FREEMAN, THOMAS E II (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:FREEMAN
Suffix:II
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47320-0247
Mailing Address - Country:US
Mailing Address - Phone:765-284-4220
Mailing Address - Fax:765-284-5254
Practice Address - Street 1:1007 N 16TH ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-4320
Practice Address - Country:US
Practice Address - Phone:765-284-4220
Practice Address - Fax:765-284-5254
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000587213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100106500AMedicaid
480005101OtherRR MCR
209870AMedicare PIN