Provider Demographics
NPI:1730119231
Name:FREEMAN, JULIE CERNOSEK (DC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CERNOSEK
Last Name:FREEMAN
Suffix:
Gender:F
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:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:TX
Mailing Address - Zip Code:76648
Mailing Address - Country:US
Mailing Address - Phone:254-576-2311
Mailing Address - Fax:254-576-2997
Practice Address - Street 1:103 N 2ND ST E
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:TX
Practice Address - Zip Code:76648
Practice Address - Country:US
Practice Address - Phone:254-576-2311
Practice Address - Fax:254-576-2997
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8247506OtherBLUE LINK NUMBER BCBS
U47506Medicare UPIN
TX604038Medicare ID - Type Unspecified