Provider Demographics
NPI:1598014201
Name:SIEGAL, WILLIAM FREEMAN (MED/EDS, MSN)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FREEMAN
Last Name:SIEGAL
Suffix:
Gender:M
Credentials:MED/EDS, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1113 MURFREESBORO RD STE 319
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1312
Mailing Address - Country:US
Mailing Address - Phone:615-790-0567
Mailing Address - Fax:615-814-2924
Practice Address - Street 1:1113 MURFREESBORO RD STE 319
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1312
Practice Address - Country:US
Practice Address - Phone:615-790-0567
Practice Address - Fax:615-814-2924
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN225341163W00000X
TN25032363LP0808X
FLIMH8933101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ045592Medicaid