Provider Demographics
NPI:1164415477
Name:FREEMAN, ALLISON L (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:L
Other - Last Name:REDFEARN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1459 JOHNSTON WILLIS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4730
Mailing Address - Country:US
Mailing Address - Phone:804-794-9477
Mailing Address - Fax:804-794-1793
Practice Address - Street 1:1459 JOHNSTON WILLIS DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4730
Practice Address - Country:US
Practice Address - Phone:804-794-9477
Practice Address - Fax:804-794-1793
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3066042080P0201X
VA0101053465207K00000X
PA4291622080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017188510002Medicaid
NY06077756Medicaid
NY06077756Medicaid
NC2221056AMedicare ID - Type Unspecified
NC890256BMedicaid