Provider Demographics
NPI:1386016236
Name:JULIE FREEMAN NUTRITION SERVICES LLC
Entity Type:Organization
Organization Name:JULIE FREEMAN NUTRITION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED NUTRITIONIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LD, RD
Authorized Official - Phone:781-237-9016
Mailing Address - Street 1:409 N. 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501
Mailing Address - Country:US
Mailing Address - Phone:781-237-9016
Mailing Address - Fax:781-236-6126
Practice Address - Street 1:409 N. 6TH STREET
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76501
Practice Address - Country:US
Practice Address - Phone:781-237-9016
Practice Address - Fax:781-236-6126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JULIE FREEMAN NUTRITION SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-30
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA162133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty