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Contact Information

JOCELYN FREEMAN
2016 VADALABENE DR
MARYVILLE, IL62062
 Phone: 618-288-9670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOCELYN FREEMAN · (Female)

NPI # 1164586491
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019027142
  • MO License # 2006017183
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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