Provider Demographics
NPI:1275958282
Name:FREEMAN, STEPHEN (HIS)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HUTTON RANCH RD STE 105
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2141
Mailing Address - Country:US
Mailing Address - Phone:406-755-5077
Mailing Address - Fax:406-755-5995
Practice Address - Street 1:300 N WILLSON AVE
Practice Address - Street 2:SUITE 3005-5
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3551
Practice Address - Country:US
Practice Address - Phone:406-522-7198
Practice Address - Fax:406-522-7198
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT920237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist