Provider Demographics
NPI:1518152024
Name:FREEMAN, DENNY CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNY
Middle Name:CHARLES
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 1:8741 OLD REDWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-9233
Mailing Address - Country:US
Mailing Address - Phone:707-837-1819
Mailing Address - Fax:
Practice Address - Street 1:8741 OLD REDWOOD HWY.
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-9233
Practice Address - Country:US
Practice Address - Phone:707-837-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor