Chakara, Freeman M
Chakara, Freeman M is an sole proprietor health care provider with primary practice located at 219 W Main St , Leola PA 17540-1753. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Chakara, Freeman M can be contacted via phone (717) 556-0149.Contact Information
Primary practice address
219 W Main St
Leola PA 17540-1753
Phone: (717) 556-0149
Fax: (717) 556-0149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS009409 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS009409 | Pennsylvania |
| Behavioral Health & Social Service Providers / School | 103TS0200X | PS009409 | Pennsylvania |
Profile Details
| NPI number | 1336190966 |
|---|---|
| LBN Legal business name | Chakara, Freeman M |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 2nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336190966 | NPPES |
| Pennsylvania | Other | 680015251 | RAILROAD MEDICARE |
| Pennsylvania | Other | 02271001 | RAILROAD MEDICARE |
| Pennsylvania | Other | 1548470 | RAILROAD MEDICARE |
| Pennsylvania | Other | 001334567 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0018978580002 | RAILROAD MEDICARE |
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