Provider Demographics
NPI:1306025259
Name:ROBERT G FRIEMAN D.C.P.A.
Entity Type:Organization
Organization Name:ROBERT G FRIEMAN D.C.P.A.
Other - Org Name:FRIEMAN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:FRIEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-668-4000
Mailing Address - Street 1:8838 WALTHAM WOODS RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2402
Mailing Address - Country:US
Mailing Address - Phone:410-668-4000
Mailing Address - Fax:
Practice Address - Street 1:8838 WALTHAM WOODS RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2402
Practice Address - Country:US
Practice Address - Phone:410-668-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD218PMedicare PIN