Coblyn, Jacob Bamford

Coblyn, Jacob Bamford is an individual health care provider with primary practice located at 40 Wright St , Palmer MA 01069-1138. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Coblyn, Jacob Bamford can be contacted via phone (413) 370-5400.

Contact Information

Primary practice address
40 Wright St Palmer MA 01069-1138
Phone: (413) 370-5400
Fax: (413) 370-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA8016 Massachusetts

Profile Details

NPI number 1821618489
LBN Legal business name Coblyn, Jacob Bamford
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2020
Last updated Aug 30th, 2021 - about 5 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.

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