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Contact Information

NICOLE FREMAREK, DO, MBA
2861 NE INDEPENDENCE AVE STE 201
LEE'S SUMMIT, MO64064-2379
 Phone: 816-525-2840
 Fax: 816-525-2841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for NICOLE FREMAREK · (Female)

NPI Number 1417410705
Status Active
Credentials DO, MBA
Entity Individual
Enumeration date 04/12/2019
Last updated 11/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2024037892
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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