Freeburne, Jason K
Freeburne, Jason K is an individual health care provider with primary practice located at 101 Cabarrus Ave E , Concord NC 28025-3699. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Freeburne, Jason K can be contacted via phone (888) 849-7379.Contact Information
Primary practice address
101 Cabarrus Ave E
Concord NC 28025-3699
Phone: (888) 849-7379
Fax: (855) 857-7333
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3004629 | Kentucky |
Profile Details
NPI number | 1003986167 |
---|---|
LBN Legal business name | Freeburne, Jason K |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2006 |
Last updated | Dec 16th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003986167 | NPPES |
Other | 11661990 | CAQH | |
MEDICAID | 78018256 | CAQH |
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