Provider Demographics
NPI:1548625379
Name:JRFREEMAN LLC
Entity type:Organization
Organization Name:JRFREEMAN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR. RACHEL STEINER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-347-6637
Mailing Address - Street 1:9770 HIGHWAY 69 S
Mailing Address - Street 2:UNIT A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-8781
Mailing Address - Country:US
Mailing Address - Phone:330-347-6637
Mailing Address - Fax:
Practice Address - Street 1:9770 HIGHWAY 69 S
Practice Address - Street 2:UNIT A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-8781
Practice Address - Country:US
Practice Address - Phone:330-347-6637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1366847089Medicare NSC