Provider Demographics
NPI:1265605885
Name:FREEDOM MOTORS USA INC.
Entity type:Organization
Organization Name:FREEDOM MOTORS USA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CORTNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DYKSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-625-6335
Mailing Address - Street 1:740 WATKINS RD
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-8695
Mailing Address - Country:US
Mailing Address - Phone:800-625-6335
Mailing Address - Fax:269-223-7110
Practice Address - Street 1:740 WATKINS RD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-8695
Practice Address - Country:US
Practice Address - Phone:269-660-1002
Practice Address - Fax:269-660-5825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIB004064332B00000X
171WV0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty