Provider Demographics
NPI:1710938626
Name:FREEMAN, STEVEN S (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
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 1:225 SAXONY DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1685
Mailing Address - Country:US
Mailing Address - Phone:215-338-5010
Mailing Address - Fax:215-338-5085
Practice Address - Street 1:8350 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2531
Practice Address - Country:US
Practice Address - Phone:215-338-5010
Practice Address - Fax:215-338-5085
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005069L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1426273Medicaid
PAU36306Medicare UPIN