Provider Demographics
NPI:1558680207
Name:FREEMONT, RONALD JAMES JR (NREMT I)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JAMES
Last Name:FREEMONT
Suffix:JR
Gender:M
Credentials:NREMT I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 W 11TH ST
Mailing Address - Street 2:PO BOX 172
Mailing Address - City:DECATUR
Mailing Address - State:NE
Mailing Address - Zip Code:68020-2093
Mailing Address - Country:US
Mailing Address - Phone:402-870-0851
Mailing Address - Fax:
Practice Address - Street 1:100 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:MACY
Practice Address - State:NE
Practice Address - Zip Code:68039-3023
Practice Address - Country:US
Practice Address - Phone:402-870-0851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2859146M00000X
IAI-12-317-12146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate