Provider Demographics
NPI:1417191529
Name:FREEMAN, CHRISTOPHER GEORGE (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:GEORGE
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7399 STATE ROUTE 366
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43324-9546
Mailing Address - Country:US
Mailing Address - Phone:937-842-2220
Mailing Address - Fax:937-842-2227
Practice Address - Street 1:7399 STATE ROUTE 366
Practice Address - Street 2:SUITE 2
Practice Address - City:HUNTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43324-9546
Practice Address - Country:US
Practice Address - Phone:937-842-2220
Practice Address - Fax:937-842-2227
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5184111N00000X
OH4087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5184OtherLICENSE #
OH4087OtherOHIO CHIROPRACTIC BOARD