Provider Demographics
NPI:1629259734
Name:FREEMAN, WHITNEY (DO)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 494
Mailing Address - Street 2:106 N CONNECTICUT
Mailing Address - City:KING CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64463-0494
Mailing Address - Country:US
Mailing Address - Phone:660-535-4904
Mailing Address - Fax:
Practice Address - Street 1:106 N CONNECTICUT
Practice Address - Street 2:
Practice Address - City:KING CITY
Practice Address - State:MO
Practice Address - Zip Code:64463-0494
Practice Address - Country:US
Practice Address - Phone:660-535-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000146011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor